Active NPI
Palmetto Sleep PC
- Health Service Clinic/Center
- McDonough, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- PALMETTO SLEEP PC
- Practice address
- 70 Westridge Pkwy Ste 100
McDonough, GA 30253-3048 - Phone
- (770) 898-3192
- NPI assigned
- Feb 24, 2023
- 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
- Dr. Jordan A Brunson, DDS
- Title
- President
- Phone
- (770) 898-3192
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
70 Westridge Pkwy Ste 100
McDonough, GA 30253-3048
Mailing address
70 Westridge Pkwy Ste 100
McDonough, GA 30253-3048
Phone (770) 898-3192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Palmetto Sleep PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Fayetteville, GA
- NPI 1518824937
Locations
70 Westridge Pkwy
Ste 100
McDonough, GA 30253
Phone (770) 898-3192
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Palmetto, GA
- NPI 1861631053
-
- Dentist
- Savannah, GA
- NPI 1073033171
-
- General Practice Dentistry
- McDonough, GA
- NPI 1780607135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677196800000",
"number": "1679272017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WESTRIDGE PKWY STE 100",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533048",
"telephone_number": "770-898-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WESTRIDGE PKWY STE 100",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533048",
"telephone_number": "770-898-3192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO SLEEP PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A",
"authorized_official_last_name": "BRUNSON",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-898-3192",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.