Organization Active NPI

Sleep Medicine Associates of Athens Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Athens, GA
National Provider Identifier
1366695835
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
059704 Issued in GA
Legal business name
SLEEP MEDICINE ASSOCIATES OF ATHENS INC
Practice address
1500 Oglethorpe Ave
Suite 3100
Athens, GA 30606-2179
Phone
(706) 850-6383
Fax
(706) 850-6389
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Deepak Das, M.D.NPI 1912908070
Title
Medcal Director
Phone
(706) 850-6383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 059704 GA Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1500 Oglethorpe Ave
Suite 3100
Athens, GA 30606-2179

Mailing address

1500 Oglethorpe Ave
Suite 3100
Athens, GA 30606-2179
Phone (706) 850-6383

Other names 1

  • Athena Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081230000041 GA Part B Supplier - Clinic/Group Practice 3476614009 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1095818Sleep Medicine Associates of Athens1500 Oglethorpe Avenue Suite 3100, Athens, GA 30606Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

Locations

1500 Oglethorpe Ave
Ste 3100
Athens, GA 30606
Phone (706) 296-0158

500 Great Oaks Dr
Ste 9A
Monroe, GA 30655
Phone (678) 635-8743

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1366695835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 3100",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-850-6383",
            "fax_number": "706-850-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 3100",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-850-6383",
            "fax_number": "706-850-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MEDICINE ASSOCIATES OF ATHENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "MEDCAL DIRECTOR",
        "authorized_official_telephone_number": "706-850-6383",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "059704",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athena Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athena Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.