Walton Pulmonary & Sleep Medicine PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

065686 Issued in GA

Legal business name

WALTON PULMONARY & SLEEP MEDICINE PC

Practice address

101 Tara Commons Dr
Loganville, GA 30052-8018

Phone

(678) 928-9700

Fax

(770) 466-1585

NPI assigned

Mar 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michel Jeannot, MDNPI 1700023330

Title

Owner

Phone

(678) 928-9700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Michel Jeannot

  • Pulmonary Disease Physician
  • Loganville, GA
  • NPI 1700023330
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1679871099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TARA COMMONS DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528018",
            "telephone_number": "678-928-9700",
            "fax_number": "770-466-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TARA COMMONS DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528018",
            "telephone_number": "678-928-9700",
            "fax_number": "770-466-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON PULMONARY & SLEEP MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "JEANNOT",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-928-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "065686",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "065686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wallace, DPT
• Mary-Theresia Kemni Wallang-Nwaha, NP-C
• Julia J Waller, LCSW
• Walton Children'S Clinic
• Walton County Treatment Center LLC
• Jonathan M. Walton-Roberts, PHARM.D.
• Erica Lynn Walton, NP
• Xin Wang, PHARMD
• Bernadette Warner
• Barbara Jean Washington, CPNP

• Pulmonary Disease Physician in Loganville, GA
• Providers in Loganville, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.