Vanguard Sleep Disorders Center LLC.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

VANGUARD SLEEP DISORDERS CENTER LLC.

Practice address

17B Marshellen Dr
Beaufort, SC 29902-6900

Phone

(843) 962-0714

Fax

(843) 941-3720

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Paul Noles

Title

Coo

Phone

(478) 363-9250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Robert L Thomas, MD

  • Internal Medicine Physician
  • Walterboro, SC
  • NPI 1750351508

  Sleep Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1508499989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 POOLER PARK WAY",
            "address_2": "BOX 163",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "telephone_number": "478-363-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17B MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-962-0714",
            "fax_number": "843-941-3720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1264 Ribaut Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299026129",
            "country_code": "US",
            "telephone_number": "843-470-3755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANGUARD SLEEP DISORDERS CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "NOLES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "478-363-9250"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urgency Room, PC
• US Navy
• Usc Telehealth
• Steven Saul Valderrama
• Lucas Lee Van Way, DO
• Helen Brogan Vansant, APRN
• Elizabeth Gail Varley, ACSW, LCSW, C-SWHC
• James Andrew Varner
• Shawn Vaughan, M.A.
• Jeffrey Violette

• Sleep Medicine (Internal Medicine) Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Sleep Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.