Certified Sleep Specialists, LLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

028735 Issued in GA

Legal business name

CERTIFIED SLEEP SPECIALISTS, LLC

Practice address

1601 N Ashley St
Suite 83
Valdosta, GA 31602-3055

Phone

(229) 293-0037

Fax

(229) 293-0701

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Terry Michael Brown, DO

Title

Physician- Owner

Phone

(229) 293-0037

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1174668701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E PARK AVE",
            "address_2": "SUITE E",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023420",
            "telephone_number": "229-293-0037",
            "fax_number": "229-293-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N ASHLEY ST",
            "address_2": "SUITE 83",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023055",
            "telephone_number": "229-293-0037",
            "fax_number": "229-293-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED SLEEP SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN- OWNER",
        "authorized_official_telephone_number": "229-293-0037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "GA",
            "license": "028735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00463273K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Valdosta, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.