Theresa Anderson-Swanson, RPSGT, CCSH

Individual provider Active NPI EEG Specialist/Technologist · Ringgold, GA

NPI 1710608682 · NPPES record last updated Sep 8, 2022

Key facts

NPI
1710608682
Entity type
Individual (NPI type 1)
Primary specialty
EEG Specialist/Technologist 246ZE0500X
Practice address
3702 Three Notch Rd
Ringgold, GA 30736-3439
Phone
(423) 504-7977
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bearly Sleep and Eeg Testing Center, LLC Current
since Sep 11, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
EEG Specialist/Technologist 246ZE0500X Yes

Addresses

Primary practice location

3702 Three Notch Rd
Ringgold, GA 30736-3439

Mailing address

3702 Three Notch Rd
Ringgold, GA 30736-3439
Phone (423) 504-7977

Other identifiers

IdentifierTypeStateIssuer
22106189OtherGACONTROL NUMBER

Other providers in Ringgold, GA

All providers in Ringgold, GA · EEG Specialist/Technologist in Georgia

Sources for this page

Verify at the official NPI Registry.