Active NPI
Sleep Unlimited Jackson
- Sleep Disorder Diagnostic Clinic/Center
- Jackson, TN
National Provider Identifier
1073804241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.