Sleep Ezzy
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Lawrenceville, GA
NPI 1154852820 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1154852820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- SLEEP EZZY
- Practice address
- 892 Legacy Park Dr
Lawrenceville, GA 30043-8761 - Phone
- (770) 962-3642
- Fax
- (770) 962-3643
- NPI assigned
- Mar 24, 2017
- Organization subpart
- No
Authorized official
- Name
- Amit Patel, MD
- Title
- Ceo
- Phone
- (770) 962-3642
Practitioners 83
-
James W Allen, CRNA
-
Nicole Bryson, CRNA
-
Mary Virginia Clare, CRNA
-
Rene Michelle Claxton, CRNA
-
Jeffrey Elliott Cryder, CRNA
-
Christina Louise Fisher, CRNA
-
Lakasia Patrice Hill, CRNA
-
Josipa Kukucka, CRNA
-
Earnest Darren Moore, CRNA
-
Jerry Price Jr., CRNA
-
Christen N Roberts, CRNA
-
Narrene J Taffe, CRNA, APRN
-
Hope Toombs, CRNA
-
Elizabeth Villanueva, C.R.N.A.
-
Dorothy Lynn Bloodworth, CRNA
-
Theresa C Bonner, CRNA
-
Christopher S Caldwell, CRNA
-
Jennifer L Loveless, CRNA
-
Alesia Quante, CRNA
-
Linda Awiti Aluoch, CRNA
-
Byron Anderson, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171023003067 | GA | Part B Supplier - Clinic/Group Practice | 4486920295 |
Receives reassigned benefits from 76 practitioners Practice locations: Athens, GA; Stockbridge, GA; Roswell, GA; Rome, GA; Lawrenceville, GA; Decatur, GA; Dalton, GA; Cumming, GA… |
| O20260626002442 | SC | Part B Supplier - Clinic/Group Practice | 4486920295 |
Receives reassigned benefits from 1 practitioner Practice locations: Greenville, SC |
National Provider Directory
Locations
100 Liberty Blvd
Ste 220
Canton, GA 30114
1504 N Thornton Ave
Ste 104
Dalton, GA 30720
Phone (706) 272-0252
484 Irvin Ct
Ste 130
Decatur, GA 30030
355 Philip Blvd
#B
Lawrenceville, GA 30046
Phone (770) 513-3233
892 Legacy Park Dr
Lawrenceville, GA 30043
455 Philip Blvd
#100
Lawrenceville, GA 30046
Phone (844) 469-4936
455 Philip Blvd
Ste 138
Lawrenceville, GA 30046
830 Eagles Landing Pkwy
Ste 205
Stockbridge, GA 30281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes |
Addresses
Primary practice location
892 Legacy Park Dr
Lawrenceville, GA 30043-8761
Mailing address
892 Legacy Park Dr
Lawrenceville, GA 30043-8761
Phone (770) 962-3642
Other providers in Lawrenceville, GA
- Skyrockett Consulting
- Rebecca Slaten
- Diamond Slaughter- Barclay
- Amanda Slauson
- Sleep and Sinus Centers ASC, LLC
- Henley Slepyan
- SLM Drug Screening Services LLC
- Jennifer Duke Smart
- Smartcare, LLC
- Smiley Face Behavioral Therapy LLC
All providers in Lawrenceville, GA · Pain Medicine (Anesthesiology) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.