NPIMap

Organization Active NPI

Pulmonary and Sleep Specialists of Northeast Georgia, PC

Doing business as Pulmonary and Sleep Medicine Center of Winder

  • Pulmonary Disease Physician
  • Winder, GA
National Provider Identifier
1194048561
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY AND SLEEP SPECIALISTS OF NORTHEAST GEORGIA, PC
Doing business as
Pulmonary and Sleep Medicine Center of Winder
Practice address
30 Satellite Dr
Suite 200
Winder, GA 30680-6211
Phone
(770) 586-0300
Fax
(770) 586-0311
NPI assigned
Mar 12, 2010
Last updated
Jan 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Dr. Rami B Arfoosh, M.D.NPI 1528239738
Title
President
Phone
(770) 586-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Pulmonary Disease Physician 207RP1001X Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X

Addresses

Primary practice location

30 Satellite Dr
Suite 200
Winder, GA 30680-6211

Mailing address

30 Satellite Dr
Suite 200
Winder, GA 30680-6211
Phone (770) 586-0300

Other identifiers 1

IdentifierTypeStateIssuer
063559OtherGAMEDICAL LICENSE

Other names 1

  • Pulmonary and Sleep Medicine Center of Winder Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000421 GA Part B Supplier - Clinic/Group Practice 4587856059 Receives reassigned benefits from 18 practitioners
Practice locations: Dacula, GA; Winder, GA

National Provider Directory

National Provider Directory

Locations

2075 Hamilton Creek Pkwy
Dacula, GA 30019

2151 W Spring St
Ste B110
Monroe, GA 30655
Phone (770) 267-1895

20 Satellite Dr
Ste 200
Winder, GA 30680
Phone (678) 963-0939

30 Satellite Dr
Winder, GA 30680
Phone (770) 586-0300

30 Satellite Dr
#200
Winder, GA 30680

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1194048561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SATELLITE DR",
            "address_2": "SUITE 200",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306806211",
            "telephone_number": "770-586-0300",
            "fax_number": "770-586-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SATELLITE DR",
            "address_2": "SUITE 200",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306806211",
            "telephone_number": "770-586-0300",
            "fax_number": "770-586-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP SPECIALISTS OF NORTHEAST GEORGIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "ARFOOSH",
        "authorized_official_first_name": "RAMI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-586-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "063559",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary and Sleep Medicine Center of Winder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.