NPIMap

Organization Active NPI

Pulmonary & Sleep Medicine Associates, LLP

  • Specialist
  • Stockbridge, GA
National Provider Identifier
1720009244
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PULMONARY & SLEEP MEDICINE ASSOCIATES, LLP
Practice address
915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone
(770) 996-6699
Fax
(770) 997-4790
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Praveen Rastogi, M.D.NPI 1265406375
Title
Senior Partner
Phone
(770) 996-6699

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X GA Primary

Addresses

Primary practice location

915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011

Mailing address

915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 996-6699

Other identifiers 5

IdentifierTypeStateIssuer
710561989AMedicaidGA
00178813BMedicaidGA
00713138BMedicaidGA
00286668AMedicaidGA
919846878AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000455 GA Part B Supplier - Clinic/Group Practice 9931013760 Receives reassigned benefits from 8 practitioners
Practice locations: Fayetteville, GA; Stockbridge, GA

National Provider Directory

National Provider Directory

Locations

132 Old Norton Rd
Ste 101
Fayetteville, GA 30215
Phone (770) 692-9501

6572 River Park Dr
Ste 10
Riverdale, GA 30274

915 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (770) 506-4350

915 Eagles Landing Pkwy
Ste 1
Stockbridge, GA 30281

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720009244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815011",
            "telephone_number": "770-996-6699",
            "fax_number": "770-997-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815011",
            "telephone_number": "770-996-6699",
            "fax_number": "770-997-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & SLEEP MEDICINE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "770-996-6699",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710561989A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00178813B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00713138B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00286668A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "919846878A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.