Palmetto Sleep PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALMETTO SLEEP PC

Practice address

210 Trilith Pkwy Ste 120
Fayetteville, GA 30214-4615

Phone

(770) 230-0222

NPI assigned

Jan 7, 2026

Organization subpart

Yes

Parent organization

PALMETTO SLEEP PCAs reported in NPPES

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

Authorized official

Name

Dr. Jordan Albert Brunson, DDS

Title

Dentist/ Ceo

Phone

(770) 230-0222

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Palmetto Sleep PC

  • Health Service Clinic/Center
  • McDonough, GA
  • NPI 1679272017

  2567828296

  Same PAC ID

Tax ID family

Palmetto Sleep PC2 organizations share this tax ID, including this one

Part of

Palmetto Sleep PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palmetto Sleep PC

  • Health Service Clinic/Center
  • McDonough, GA
  • NPI 1679272017
  NPD tax ID

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1518824937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TRILITH PKWY STE 120",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144615",
            "telephone_number": "770-230-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TRILITH PKWY STE 120",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144615",
            "telephone_number": "770-230-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SLEEP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO SLEEP PC",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "DENTIST/ CEO",
        "authorized_official_telephone_number": "770-230-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Page, DOULA
• Manjit Pakkala, MD
• Dawn Leilani Paletta, PA
• Allane J Palmer, CNA
• Palmetto Family Dental of Fayette County, PC
• Kashif Panjwani, PHARMD
• Diliana K Panova, M.D.
• Jake Parham, OTR/L
• Hana Park
• Kevin U Park, MD

• General Practice Dentistry in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.