Active NPI
Bioserenity USA Inc.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Macon, GA
National Provider Identifier
1518976554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Legal business name
- BIOSERENITY USA INC.
- Practice address
- 770 Hemlock St
Suite C
Macon, GA 31201 - Phone
- (478) 745-9050
- Fax
- (478) 745-5125
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Shock
- Title
- Evp Clinical Operations
- Phone
- (214) 532-3757
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | Primary | ||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X |
Addresses
Primary practice location
770 Hemlock St
Suite C
Macon, GA 31201
Mailing address
99 Rosewood Dr Ste 245
Danvers, MA 01923-4537
Phone (978) 536-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 905532 | Other | BLUE CROSS | |
| 2860022 | Other | AETNA HMO | |
| 7618325 | Other | AETNA PPO |
Other names 1
- SleepMed, Inc.
National Provider Directory
National Provider DirectoryLocations
770 Hemlock St
Ste C
Macon, GA 31201
Phone (478) 745-9050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652140800000",
"number": "1518976554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 ROSEWOOD DR STE 245",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234537",
"telephone_number": "978-536-7400",
"fax_number": "978-536-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 HEMLOCK ST",
"address_2": "SUITE C",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-745-9050",
"fax_number": "478-745-5125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOSERENITY USA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A",
"authorized_official_last_name": "SHOCK",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "EVP CLINICAL OPERATIONS",
"authorized_official_telephone_number": "214-532-3757"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "905532",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2860022",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7618325",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SleepMed, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SleepMed, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.