Organization Active NPI

Elite Sleep Professionals LLC

  • Durable Medical Equipment & Medical Supplies
  • Bremen, GA
National Provider Identifier
1710693445
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE SLEEP PROFESSIONALS LLC
Practice address
211 Field St
Bremen, GA 30110-2048
Phone
(770) 538-1624
Fax
(770) 299-4349
NPI assigned
Jan 26, 2023
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Melody JohnsonNPI 1841803590
Title
Owner
Phone
(770) 538-1624

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

211 Field St
Bremen, GA 30110-2048

Mailing address

211 Field St
Bremen, GA 30110-2048
Phone (770) 538-1624

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL J

National Provider Directory

National Provider Directory

Locations

211 Field St
Bremen, GA 30110
Phone (770) 538-1624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1710693445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FIELD ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102048",
            "telephone_number": "770-538-1624",
            "fax_number": "770-299-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FIELD ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102048",
            "telephone_number": "770-538-1624",
            "fax_number": "770-299-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SLEEP PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-538-1624"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "J",
            "affiliation": "N",
            "address_1": "211 Field St",
            "city": "Bremen",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301102048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.