NPIMap

Organization Active NPI

Coffee County Sleep Services, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Douglas, GA
National Provider Identifier
1457583502
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
08043471 Issued in GA
Legal business name
COFFEE COUNTY SLEEP SERVICES, LLC
Practice address
308 Shirley Ave
Suite 304
Douglas, GA 31533-2332
Phone
(912) 383-9382
NPI assigned
Aug 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Jeffrey Silveira, M.D.
Title
Registered Agent
Phone
(912) 383-9382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 08043471 GA Primary

Addresses

Primary practice location

308 Shirley Ave
Suite 304
Douglas, GA 31533-2332

Mailing address

312 Westside Dr
Douglas, GA 31533-3530
Phone (912) 383-9382

National Provider Directory

National Provider Directory

Locations

308 Shirley Ave
Ste 304
Douglas, GA 31533
Phone (912) 383-9382

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1457583502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WESTSIDE DR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333530",
            "telephone_number": "912-383-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SHIRLEY AVE",
            "address_2": "SUITE 304",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332332",
            "telephone_number": "912-383-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE COUNTY SLEEP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "SILVEIRA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "912-383-9382",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "GA",
            "license": "08043471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.