Organization Active NPI

Premier Sleep Diagnostic Centers LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Oglethorpe, GA
National Provider Identifier
1730110974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PREMIER SLEEP DIAGNOSTIC CENTERS LLC
Practice address
83 Crye Leike Dr
Ft Oglethorpe, GA 30742-4055
Phone
(706) 866-7762
Fax
(706) 866-7757
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeff Londis
Title
Ceo
Phone
(423) 876-7785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

83 Crye Leike Dr
Ft Oglethorpe, GA 30742-4055

Mailing address

83 Crye Leike Dr
Ft Oglethorpe, GA 30742-4055
Phone (706) 866-7762

National Provider Directory

National Provider Directory

Locations

83 Crye Leike Dr
Ft Oglethorpe, GA 30742
Phone (423) 710-3864

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730110974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CRYE LEIKE DR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424055",
            "telephone_number": "706-866-7762",
            "fax_number": "706-866-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CRYE LEIKE DR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424055",
            "telephone_number": "706-866-7762",
            "fax_number": "706-866-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SLEEP DIAGNOSTIC CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONDIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-876-7785"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.