Organization Active NPI

Somnus Sleep Clinic of Central Mississippi, LLC

Doing business as Somnus Sleep Clinic

  • Specialist
  • Flowood, MS
National Provider Identifier
1710903380
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12644 Issued in MS
Legal business name
SOMNUS SLEEP CLINIC OF CENTRAL MISSISSIPPI, LLC
Doing business as
Somnus Sleep Clinic
Practice address
1006 Treetops Blvd
Suite 102
Flowood, MS 39232-7645
Phone
(601) 939-1808
Fax
(601) 939-3828
NPI assigned
Jul 15, 2006
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Mr. Johnnie WesterfieldNPI 1558656553
Title
Owner/Manager
Phone
(601) 939-1808

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
Specialist 174400000X 12644 MS Primary

Addresses

Primary practice location

1006 Treetops Blvd
Suite 102
Flowood, MS 39232-7645

Mailing address

1006 Treetops Blvd
Suite 102
Flowood, MS 39232-7645
Phone (601) 939-1808

Other names 1

  • Somnus Sleep Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060105000643 MS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1759304728 Practice locations: Flowood, MS

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1006 Treetops Blvd
Ste 102
Flowood, MS 39232
Phone (601) 939-1808

Practitioners & affiliated clinicians

Practitioners 7

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1710903380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 TREETOPS BLVD",
            "address_2": "SUITE 102",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327645",
            "telephone_number": "601-939-1808",
            "fax_number": "601-939-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 TREETOPS BLVD",
            "address_2": "SUITE 102",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327645",
            "telephone_number": "601-939-1808",
            "fax_number": "601-939-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMNUS SLEEP CLINIC OF CENTRAL MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "WESTERFIELD",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "601-939-1808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "12644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somnus Sleep Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Somnus Sleep Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.