Sleep Center of Moultrie, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SLEEP CENTER OF MOULTRIE, LLC

Practice address

1405 S Main St
Moultrie, GA 31768-5811

Phone

(229) 785-2335

NPI assigned

Feb 20, 2025

Organization subpart

No

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

Authorized official

Name

Kim M Tomlinson

Title

Am

Phone

(229) 891-5308

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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

• Amber Joy Holt, DO

  • Surgery Physician
  • Moultrie, GA
  • NPI 1255637708
  Medicare reassignment Care Compare group NPD
• Rebecca H Peters, NP

  • Adult Health Nurse Practitioner
  • Moultrie, GA
  • NPI 1326483900
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1508662537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317760002",
            "telephone_number": "229-561-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317685811",
            "telephone_number": "229-785-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CENTER OF MOULTRIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AM",
        "authorized_official_telephone_number": "229-891-5308"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernita S Shipp, NP-C
• Jessica Nicole Shirley
• Olivia Ann Simpson, NP
• Morgan Singleton, DPT
• Carl Franklin Sircy, D.C.
• Alexa Smith, OTR/L
• David Brandon Smith, PT, DPT
• Kellie Fleming Smith, M.AUD., CCC-A
• Kirby Odis Smith, D.O.
• Leta Anne Smith, L.F.M.C.

• Sleep Disorder Diagnostic Clinic/Center in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.