Somnolife, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SOMNOLIFE, LLC

Practice address

1260 Highway 54 W
Suite 203
Fayetteville, GA 30214-4514

Phone

(770) 692-7580

Fax

(770) 692-7584

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By 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

Mr. Jeffrey Scott Sanders, MA

Title

President and Ceo

Phone

(678) 521-0194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1205019387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 54 W",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144514",
            "telephone_number": "770-692-7580",
            "fax_number": "770-692-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 54 W",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144514",
            "telephone_number": "770-692-7580",
            "fax_number": "770-692-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMNOLIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "678-521-0194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Soph Life LLC

• Sleep Disorder Diagnostic Clinic/Center in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.