Organization Active NPI

Appalachian Sleep Disorders Center LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Jellico, TN
National Provider Identifier
1770612236
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
26093 Issued in TN
Legal business name
APPALACHIAN SLEEP DISORDERS CENTER LLC
Practice address
488 S. Florence Ave.
Jellico, TN 37762-2378
Phone
(423) 784-9203
Fax
(423) 784-4647
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Sherry Hughes
Title
Manager
Phone
(423) 784-9203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 26093 TN Primary

Addresses

Primary practice location

488 S. Florence Ave.
Jellico, TN 37762-2378

Mailing address

488 S. Florence Ave.
Jellico, TN 37762-2378
Phone (423) 784-9203

National Provider Directory

National Provider Directory

Locations

488 S Florence Ave
Jellico, TN 37762
Phone (423) 784-1197

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1770612236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 S. FLORENCE AVE.",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622378",
            "telephone_number": "423-784-9203",
            "fax_number": "423-784-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 S. FLORENCE AVE.",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622378",
            "telephone_number": "423-784-9203",
            "fax_number": "423-784-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN SLEEP DISORDERS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-784-9203"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "26093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jellico, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.