Sleep Study Clinics of West Tennessee LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

0289344 Issued in TN

Legal business name

SLEEP STUDY CLINICS OF WEST TENNESSEE LLC

Practice address

7730 Wolf River Blvd Ste 106
Germantown, TN 38138-1737

Phone

(901) 405-1023

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Devin D Donaldson

Title

Ceo

Phone

(901) 461-8009

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

Tax ID family

Sleep Study Clinics of West Tennessee LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sleep Study Clinics of West Tennessee, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Germantown, TN
  • NPI 1043675036
  NPD tax ID

Locations

Practitioners 5

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

• Kary G Whitehead, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Meridian, MS
  • NPI 1215933924
  NPD
• Tracie Watkins Abel, NP

  • Nurse Practitioner
  • Germantown, TN
  • NPI 1437510773
  NPD (past)
• Julie J Carpenter, MD

  • Family Medicine Physician
  • Southaven, MS
  • NPI 1497757520
  NPD (past)
• Laura Elizabeth Davis, FNP

  • Nurse Practitioner
  • Southaven, MS
  • NPI 1619226032
  NPD (past)
• Connie Jean Hodge, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Olive Branch, MS
  • NPI 1891103313
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1669413381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD STE 106",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381737",
            "telephone_number": "901-405-1023",
            "fax_number": "901-614-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD STE 106",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381737",
            "telephone_number": "901-405-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6858 Swinnea Rd",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719493",
            "country_code": "US",
            "telephone_number": "662-349-9802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SLEEP STUDY CLINICS OF WEST TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-461-8009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "TN",
            "license": "0289344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "3791004",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Skidmore, DDS
• Maryann Landise Skoda, OTR/L
• Anna Kathryn Slagle, M.D.
• Lindsay Sledd
• Sleep Management Clinic-TN, LLC
• Sleep Study Clinics of West Tennessee, LLC
• Linda M Smiley, MD
• Adam G Smith, M.D.
• Camelia K Smith, LCSW
• Christa Burkes Smith, RN, MSN, NNP

• Sleep Disorder Diagnostic Clinic/Center in Germantown, TN
• Providers in Germantown, TN by specialty
• Sleep Disorder Diagnostic Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.