Med One Sleep Center, PLLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MED ONE SLEEP CENTER, PLLC

Practice address

1340 Walter Reed Rd Ste 201
Fayetteville, NC 28304-4451

Phone

(910) 401-5415

Fax

(910) 849-3453

NPI assigned

Nov 13, 2020

Last updated

Nov 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond Albert Gaskins Jr., MDNPI 1073519690

Title

Physician Owner

Phone

(910) 977-1399

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Raymond A Gaskins Jr., M.D.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1073519690

  Sleep Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Ahmed Ismail Elnaggar, M.D.

  • Pulmonary Disease Physician
  • Statesville, NC
  • NPI 1255323804
  Medicare reassignment Care Compare group NPD
• James John Richard, MPAS, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1467779322
  Medicare reassignment NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605312000000",
    "number": "1194327155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WALTER REED RD STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044451",
            "telephone_number": "910-401-5415",
            "fax_number": "910-849-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WALTER REED RD STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044451",
            "telephone_number": "910-401-5415",
            "fax_number": "910-849-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ONE SLEEP CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "910-977-1399",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Sleep Disorder Diagnostic Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.