Organization Active NPI

Sleep Unlimited Jackson

  • Sleep Disorder Diagnostic Clinic/Center
  • Jackson, TN
National Provider Identifier
1073804241
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP UNLIMITED JACKSON
Practice address
101 Clinical Centre Drive
Jackson, TN 38305
Phone
(901) 758-2838
Fax
(901) 758-2479
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Anthomy Scott Ealy
Title
Chief Manager
Phone
(901) 758-2838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

101 Clinical Centre Drive
Jackson, TN 38305

Mailing address

764 Walnut Knoll LN
Ste 200
Cordova, TN 38018-3113
Phone (901) 758-2838

National Provider Directory

National Provider Directory

Locations

320 S Walnut Bend Rd
Ste B
Cordova, TN 38018

320 S Walnut Bend Rd
#B
Cordova, TN 38018

101 Clinical Center Dr
Jackson, TN 38305
Phone (731) 736-2322

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1073804241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 WALNUT KNOLL LN",
            "address_2": "STE 200",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183113",
            "telephone_number": "901-758-2838",
            "fax_number": "901-758-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLINICAL CENTRE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "901-758-2838",
            "fax_number": "901-758-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP UNLIMITED JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "EALY",
        "authorized_official_first_name": "ANTHOMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "901-758-2838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.