Organization Active NPI

Southern Sleep Technologies, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Warner Robins, GA
National Provider Identifier
1285822478
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
07039337 Issued in GA
Legal business name
SOUTHERN SLEEP TECHNOLOGIES, INC
Practice address
1570 Watson Blvd
Suite a
Warner Robins, GA 31093-3432
Phone
(478) 757-0759
Fax
(478) 757-0769
NPI assigned
Oct 12, 2007
Organization subpart
Yes
Parent organization
SLEEP SERVICES OF AMERICA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Mr. John Mathias
Title
President
Phone
(410) 760-6990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 07039337 GA Primary

Addresses

Primary practice location

1570 Watson Blvd
Suite a
Warner Robins, GA 31093-3432

Mailing address

890 Airport Park Rd
Suite 119
Glen Burnie, MD 21061-2559
Phone (410) 760-6990

National Provider Directory

National Provider Directory
Tax ID family
Southern Sleep Technologies Inc10 organizations share this tax ID, including this one
Part of
Southern Sleep Technologies Inc

Other organizations with this tax ID 9

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

Locations

1570 Watson Blvd
Ste A
Warner Robins, GA 31093
Phone (478) 757-0759

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1285822478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 AIRPORT PARK RD",
            "address_2": "SUITE 119",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612559",
            "telephone_number": "410-760-6990",
            "fax_number": "410-760-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WATSON BLVD",
            "address_2": "SUITE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933432",
            "telephone_number": "478-757-0759",
            "fax_number": "478-757-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SLEEP TECHNOLOGIES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLEEP SERVICES OF AMERICA, INC",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-760-6990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "GA",
            "license": "07039337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.