Organization Active NPI

Paladin Sleep Services LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Brunswick, GA
National Provider Identifier
1669812574
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PALADIN SLEEP SERVICES LLC
Practice address
167 Highland Park Cir
Brunswick, GA 31523-1161
Phone
(912) 674-1068
Fax
(912) 289-2912
NPI assigned
Jun 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Mr. Shane Alan Harper, RPSGT
Title
Owner
Phone
(912) 674-1068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

167 Highland Park Cir
Brunswick, GA 31523-1161

Mailing address

5420 New Jesup Hwy
#50
Brunswick, GA 31523-1137
Phone (912) 674-1068

National Provider Directory

National Provider Directory

Locations

5420 New Jesup Hwy
#50
Brunswick, GA 31523

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1669812574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 NEW JESUP HWY",
            "address_2": "#50",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315231137",
            "telephone_number": "912-674-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 HIGHLAND PARK CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315231161",
            "telephone_number": "912-674-1068",
            "fax_number": "912-289-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALADIN SLEEP SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-674-1068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.