Sleep Medicine Center Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

6698 Issued in FL

Legal business name

SLEEP MEDICINE CENTER INC.

Practice address

310 S Palm Ave
Suite 6
Palatka, FL 32177-4179

Phone

(386) 325-9797

Fax

(386) 325-9798

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Hubert M (Mike) Zachary, PHD, LMHC

Title

President

Phone

(904) 281-1066

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1508069287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 OLD BAYMEADOWS RD",
            "address_2": "BOX 386",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568101",
            "telephone_number": "904-281-1066",
            "fax_number": "904-281-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PALM AVE",
            "address_2": "SUITE 6",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774179",
            "telephone_number": "386-325-9797",
            "fax_number": "386-325-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MEDICINE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "ZACHARY",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "M (MIKE)",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-281-1066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2472E0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": "6698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2254",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurnoor Singh, MD
• Kaushalendra Kumar Singh, MD
• Genell Elizabeth Singleton, PHARMD
• Skilled Therapy Services Inc
• Sleep Medicine Associates Inc.
• Jeffrey Reid Slotten, D.D.S.
• Sma Healthcare Inc
• Sma Healthcare Inc
• Small Talk Inc
• Lindy Smith, MS, CCC-SLP

• Sleep Disorder Diagnostic Clinic/Center in Palatka, FL
• Providers in Palatka, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.