Sleep & Pulmonary Care Center, P.C.
Organization Active NPI Pulmonary Disease Physician · Decatur, AL
NPI 1346406469 · NPPES record last updated Jul 29, 2008
Key facts
- NPI
- 1346406469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- SLEEP & PULMONARY CARE CENTER, P.C.
- Practice address
- 1874 Beltline Rd SW
Decatur, AL 35601-5514 - Phone
- (256) 341-0152
- NPI assigned
- Jul 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Mamoun Najjar, M.D.
- Title
- President
- Phone
- (256) 350-4855
Practitioners 27
-
Mamoun I Najjar, MD
-
Tracey Jeffreys, CRNP
-
Brady Aderholt, CRNP
-
Mary Elizabeth Barry, ARNP
-
Keeshia Cloud, CRNP
-
Jaclyn Rae Collie, CRNP
-
Benjamin Favis, MD
-
Angela Gann, CRNP
-
Ginger Gilley, MSN, CRNP, FNP-C
-
Carmalita Kelly, CRNP
-
Danielle Marie Moon, CRNP
-
Payton Kingsley Norwood, CRNP
-
Brittney Nicole Sides, RN, CRNP
-
John Evan Willis, CRNP
-
Xiaoyuan Zhu Mauldin, XIAOYUAN
-
Charles Itoe Misori, CRNP
-
Prem Kumar Gulati, M.D.
-
Anita Westfall, CRNP
-
Stephen Joseph Miniat, M.D.
-
Deborah Snead Abu-Alrub, CRNP
-
Marina Didyk, MSN, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080826000497 | AL | Part B Supplier - Clinic/Group Practice | 5799850731 |
Receives reassigned benefits from 18 practitioners Practice locations: Decatur, AL; Madison, AL |
National Provider Directory
Locations
105 W Dublin Dr
#A
Madison, AL 35758
Phone (256) 772-0606
3751 Sullivan St
Madison, AL 35758
Phone (256) 772-4211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Pulmonary Disease Physician |
207RP1001X | Yes | ||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X |
Addresses
Primary practice location
1874 Beltline Rd SW
Decatur, AL 35601-5514
Mailing address
213 Brockton Dr
Madison, AL 35756-4050
NPI Registry JSON
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1346406469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 BROCKTON DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357564050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015514",
"telephone_number": "256-341-0152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP & PULMONARY CARE CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "NAJJAR",
"authorized_official_first_name": "MAMOUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-350-4855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
- Maegan Siller
- Robyn Trippany Simmons
- William A Sims
- Sampath Reddy Singireddy
- Danny Bruce Skipper
- Sleep Solutions of Alabama LLC
- Daniel Sloan
- Tomiko Evatte Smiley
- Angelia D Smith
- Christian Ray Smith
All providers in Decatur, AL · Pulmonary Disease Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.