Organization Active NPI

Oconee Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Vidalia, GA
National Provider Identifier
1194951129
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
OCONEE SLEEP CENTER
Practice address
602 Church St Unit B
Vidalia, GA 30474-4744
Phone
(912) 388-4556
Fax
(912) 538-8404
NPI assigned
Jun 4, 2009
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mike S Shehee
Title
Operations Manager/Co-Owner
Phone
(912) 388-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X GA Primary

Addresses

Primary practice location

602 Church St Unit B
Vidalia, GA 30474-4744

Mailing address

602 Church St Unit B
Vidalia, GA 30474-4744
Phone (912) 388-4556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090528000031 GA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7719036508 Practice locations: Vidalia, GA

National Provider Directory

National Provider Directory
Tax ID family
Oconee Sleep Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

602 Church St
Unit B
Vidalia, GA 30474
Phone (912) 388-4556

Practitioners & affiliated clinicians

Practitioners 1

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": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1194951129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CHURCH ST UNIT B",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744744",
            "telephone_number": "912-388-4556",
            "fax_number": "912-538-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CHURCH ST UNIT B",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744744",
            "telephone_number": "912-388-4556",
            "fax_number": "912-538-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SHEHEE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATIONS MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "912-388-4556"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.