Active NPI
Sleep Practitioners, LLC
- Sleep Medicine (Psychiatry & Neurology) Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Legal business name
- SLEEP PRACTITIONERS, LLC
- Practice address
- 275 Sheraton Blvd Ste 100
Macon, GA 31210-1359 - Phone
- (478) 745-5779
- Fax
- (478) 742-7796
- NPI assigned
- Aug 19, 2013
- Last updated
- May 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles C Wells Jr., M.D.
- Title
- Director
- Phone
- (478) 745-5779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | |||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | Primary |
Addresses
Primary practice location
275 Sheraton Blvd Ste 100
Macon, GA 31210-1359
Mailing address
275 Sheraton Blvd Ste 100
Macon, GA 31210-1359
Phone (478) 745-5779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1047329 | Sleep Practitioners, LLC | Certificate of waiver | Oct 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
910 N 5th St
Ste E
Cordele, GA 31015
Phone (478) 745-5779
275 Sheraton Blvd
Ste 100
Macon, GA 31210
Phone (478) 745-5779
100 Tommy Stalnaker Dr
Warner Robins, GA 31088
Phone (478) 745-5779
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CACGAA
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Macon, GA
- NPI 1053332841
-
- Pulmonary Disease Physician
- Macon, GA
- NPI 1306279955
-
- Sleep Medicine (Family Medicine) Physician
- Macon, GA
- NPI 1609335751
-
- Family Nurse Practitioner
- Suwanee, GA
- NPI 1780175141
-
- Nurse Practitioner
- Macon, GA
- NPI 1922563287
-
- Family Nurse Practitioner
- Macon, GA
- NPI 1891305496
-
- Physician Assistant
- Macon, GA
- NPI 1205106036
-
- Family Nurse Practitioner
- Macon, GA
- NPI 1003338195
-
- Physician Assistant
- Macon, GA
- NPI 1356587588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494201600000",
"number": "1023441656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SHERATON BLVD STE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312101359",
"telephone_number": "478-745-5779",
"fax_number": "478-742-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 SHERATON BLVD STE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312101359",
"telephone_number": "478-745-5779",
"fax_number": "478-742-7796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP PRACTITIONERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-19",
"last_updated": "2017-05-08",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "478-745-5779",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.