Organization Active NPI

Southern Neurology and Sleep, PC

  • Neurology Physician
  • Alabaster, AL
National Provider Identifier
1477809663
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SOUTHERN NEUROLOGY AND SLEEP, PC
Practice address
644 2ND St NE
Suite 101
Alabaster, AL 35007-8824
Phone
(205) 664-7852
Fax
(205) 664-7288
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Sunil K. Goli, M.D.NPI 1124045083
Title
President
Phone
(205) 602-5189

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

644 2ND St NE
Suite 101
Alabaster, AL 35007-8824

Mailing address

644 2ND St NE
Suite 101
Alabaster, AL 35007-8824
Phone (205) 664-7852

Other practice location 1

5295 Preserve Pkwy Ste 250
Hoover, AL 35244-4702
Phone (205) 664-7643

Other practice location 2

1004 1st St N Ste 350
Alabaster, AL 35007-8605
Phone (205) 664-7852

Other practice location 3

985 9th Ave SW Ste 502
Bessemer, AL 35022-7814
Phone (205) 664-7852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121001000128 AL Part B Supplier - Clinic/Group Practice 5890944243 Receives reassigned benefits from 1 practitioner
Practice locations: Alabaster, AL; Bessemer, AL; Clanton, AL; Hoover, AL

National Provider Directory

National Provider Directory

Locations

1004 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 663-2103

644 2nd St NE
Ste 101
Alabaster, AL 35007
Phone (205) 358-1848

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5820/brand/1/csg/1/fhir/r4

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": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1477809663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 2ND ST NE",
            "address_2": "SUITE 101",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078824",
            "telephone_number": "205-664-7852",
            "fax_number": "205-664-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 2ND ST NE",
            "address_2": "SUITE 101",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078824",
            "telephone_number": "205-664-7852",
            "fax_number": "205-664-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5295 Preserve Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444702",
            "country_code": "US",
            "telephone_number": "205-664-7643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 1st St N Ste 350",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078605",
            "country_code": "US",
            "telephone_number": "205-664-7852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "985 9th Ave SW Ste 502",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350227814",
            "country_code": "US",
            "telephone_number": "205-664-7852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN NEUROLOGY AND SLEEP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GOLI",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-602-5189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.