NPIMap

Organization Active NPI

Sleep and Sinus Centers ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1194261834
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SLEEP AND SINUS CENTERS ASC, LLC
Practice address
550 Professional Drive
Suite 110
Lawrenceville, GA 30046-7686
Phone
(678) 689-1100
Fax
(678) 722-8206
NPI assigned
Jan 18, 2017
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
David Gavin Dillard, MDNPI 1558327072
Title
Owner/Physician
Phone
(678) 689-1100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

550 Professional Drive
Suite 110
Lawrenceville, GA 30046-7686

Mailing address

PO Box 1728
Watkinsville, GA 30677-0034
Phone (678) 689-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194261834. Details of each certification follow.

Ambulatory surgical center certification: CCN 11C0001474

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SLEEP AND SINUS CENTERS ASC, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Oct 9, 2017
Last certification
Oct 9, 2017
Ownership / control type
Proprietary
Facility address
550 Professional Drive, Suite 110
Lawrenceville, GA 30046

National Provider Directory

National Provider Directory

Locations

550 Professional Dr
Ste 110
Lawrenceville, GA 30046

755 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (770) 277-6725

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHJBA

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1194261834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1728",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770034",
            "telephone_number": "678-689-1100",
            "fax_number": "678-722-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PROFESSIONAL DRIVE",
            "address_2": "SUITE 110",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467686",
            "telephone_number": "678-689-1100",
            "fax_number": "678-722-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP AND SINUS CENTERS ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "678-689-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.