Active NPI
Sleep Disorders Center of Georgia, Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Atlanta, GA
National Provider Identifier
1619038320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- License
- 014677
- Legal business name
- SLEEP DISORDERS CENTER OF GEORGIA, INC.
- Practice address
- 5505 Peachtree Dunwoody Rd NE
Suite 380
Atlanta, GA 30342-1705 - Phone
- (404) 257-0080
- Fax
- (404) 257-0592
- NPI assigned
- Dec 13, 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
- Mrs. Shelley A Willis
- Title
- Administrative Supervisor
- Phone
- (404) 257-0080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | 014677 | GA | Primary |
Addresses
Primary practice location
5505 Peachtree Dunwoody Rd NE
Suite 380
Atlanta, GA 30342-1705
Mailing address
5505 Peachtree Dunwoody Rd NE
Suite 380
Atlanta, GA 30342-1705
Phone (404) 257-0080
National Provider Directory
National Provider DirectoryLocations
5505 Pchtrdnwdy
Ste 380
Sandy Springs, GA 30342
Phone (404) 257-0080
5505 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 256-1400
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1033115258
-
- Sleep Specialist (PhD)
- Atlanta, GA
- NPI 1861400319
-
- Pulmonary Disease Physician
- Atlanta, GA
- NPI 1619973815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293580800000",
"number": "1619038320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 380",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421705",
"telephone_number": "404-257-0080",
"fax_number": "404-257-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 380",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421705",
"telephone_number": "404-257-0080",
"fax_number": "404-257-0592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DISORDERS CENTER OF GEORGIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2010-12-29",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "SHELLEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
"authorized_official_telephone_number": "404-257-0080",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "GA",
"license": "014677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.