Organization Active NPI

Sleepmed Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Macon, GA
National Provider Identifier
1649455189
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
SLEEPMED INC
Practice address
435 Second St
Suite 430
Macon, GA 31201-2624
Phone
(478) 745-5779
Fax
(478) 742-7796
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Joseph Rose
Title
VP of Finance & Administration
Phone
(978) 536-7400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

435 Second St
Suite 430
Macon, GA 31201-2624

Mailing address

60 Chastain Center Blvd NW
Ste 66
Kennesaw, GA 30144-5598
Phone (978) 536-7400

Other identifiers 2

IdentifierTypeStateIssuer
7618325OtherAETNA PPO
2860022OtherAETNA HMO

National Provider Directory

National Provider Directory

Locations

435 2nd St
Ste 430
Macon, GA 31201
Phone (478) 745-5779

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1649455189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHASTAIN CENTER BLVD NW",
            "address_2": "STE 66",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445598",
            "telephone_number": "978-536-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SECOND ST",
            "address_2": "SUITE 430",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012624",
            "telephone_number": "478-745-5779",
            "fax_number": "478-742-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP OF FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "978-536-7400"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7618325",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2860022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.