Beacon Sleep Services PLLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

Legal business name

BEACON SLEEP SERVICES PLLC

Practice address

110 Corporate Dr Ste 110
Johnson City, TN 37604-2008

Phone

(423) 328-0363

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Christopher M. Nolte, MDNPI 1790768091

Title

Owner

Phone

(904) 226-9767

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Michael Nolte, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Knoxville, TN
  • NPI 1790768091
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Tibben, AGPCNP

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1982428272
  Medicare reassignment Care Compare group NPD
• Elizabeth L Myers, APN

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1972776854
  Medicare reassignment NPD
• Grant Anthony Partin, NP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1992247530
  Medicare reassignment
• Frederick A Bunge, M.D.

  • Otolaryngology Physician
  • Oak Ridge, TN
  • NPI 1760477723
  NPD (past)
• Michael L Eisenstadt, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Knoxville, TN
  • NPI 1790865335
  NPD (past)
• Vincent P McCarthy, MD

  • Pediatric Sleep Medicine Physician
  • Sevierville, TN
  • NPI 1699831149
  NPD (past)
• Nancy Anne Ortiz, CFNP CERTIFIED FAMIL

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1942423439
  NPD (past)
• Jacquelynne B Prince, APRN

  • Adult Health Nurse Practitioner
  • Knoxville, TN
  • NPI 1295853158
  NPD (past)
• Barbara Salm, PA

  • Physician Assistant
  • Knoxville, TN
  • NPI 1457390676
  NPD (past)
• Haley Wright, MA, CCC/A

  • Audiologist
  • Oak Ridge, TN
  • NPI 1588836795
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1164806352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT #88318",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379950001",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CORPORATE DR STE 110",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042008",
            "telephone_number": "423-328-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Prosperity Dr Ste 1105",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234717",
            "country_code": "US",
            "telephone_number": "865-444-5781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3019 Millers Point Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378132033",
            "country_code": "US",
            "telephone_number": "423-616-0507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON SLEEP SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "NOLTE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-226-9767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014466",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa D Bausell, LPC, CEAP
• Barbara S Baxley
• James Chad Baxter, RT
• Max M Bayard III, MD
• Alexis Beach
• David A Beaird, MD
• Courtney Evelyn Bean, LPN
• Christy Rayne Beane, PHARM.D.
• Sheila Francine Beasley, CRNA
• Dayla Beaudrot, DPT

• Sleep Medicine (Psychiatry & Neurology) Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.