Athens Limestone Sleep Clinic

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

Legal business name

ATHENS LIMESTONE SLEEP CLINIC

Practice address

205 Sanders St
Athens, AL 35611-1419

Phone

(256) 771-7378

Fax

(256) 233-9572

NPI assigned

Sep 12, 2014

Organization subpart

No

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

Authorized official

Name

Sebrina B Holt

Title

Executive Director

Phone

(256) 216-9648

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

• Leelasri Vanguru, MD

  • Sleep Medicine (Family Medicine) Physician
  • Madison, AL
  • NPI 1063899938

  AL, Sleep Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1417358136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356111419",
            "telephone_number": "256-771-7378",
            "fax_number": "256-233-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356111419",
            "telephone_number": "256-771-7378",
            "fax_number": "256-233-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS LIMESTONE SLEEP CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SEBRINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-216-9648"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athens Limestone Healthcare Inc
• Athens Limestone Nephrology Associates
• Athens Limestone Occupational Health Group
• Athens Limestone Pain Center
• Athens Limestone Pediatric Center LLC
• Athens Limestone Surgical Clinic
• Athens Neurological
• Athens North Alabama Womens Health
• Athens Pharmacy Inc.
• Athens Pharmacy Inc.

• All providers in Athens, AL
• Sleep Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.