Organization Active NPI

Cherokee Lung & Sleep Specialists, P.C.

  • Pulmonary Disease Physician
  • Canton, GA
National Provider Identifier
1659320224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
049799 Issued in GA
Legal business name
CHEROKEE LUNG & SLEEP SPECIALISTS, P.C.
Practice address
15 Reinhardt College Pkwy
Suite 108
Canton, GA 30114-5257
Phone
(678) 493-2527
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anitra S Graves, M.D.NPI 1285669739
Title
President
Phone
(678) 493-5824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 049799 GA Primary

Addresses

Primary practice location

15 Reinhardt College Pkwy
Suite 108
Canton, GA 30114-5257

Mailing address

15 Reinhardt College Pkwy
Suite 108
Canton, GA 30114-5259
Phone (678) 493-2527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060816000307 GA Part B Supplier - Clinic/Group Practice 3274536032 Receives reassigned benefits from 4 practitioners
Practice locations: Blairsville, GA; Canton, GA; Ellijay, GA; Woodstock, GA

National Provider Directory

National Provider Directory

Locations

15 Reinhardt College Pkwy
Ste 108A
Canton, GA 30114

822 Industrial Blvd
Fl Second
Ellijay, GA 30540
Phone (678) 493-2527

900 Towne Lake Pkwy
Ste 202
Woodstock, GA 30189
Phone (678) 493-2527

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659320224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 REINHARDT COLLEGE PKWY",
            "address_2": "SUITE 108",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145259",
            "telephone_number": "678-493-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 REINHARDT COLLEGE PKWY",
            "address_2": "SUITE 108",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145257",
            "telephone_number": "678-493-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE LUNG & SLEEP SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ANITRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-493-5824",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "049799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.