Active NPI
Appalachian Sleep Disorders Center LLC
- Sleep Medicine (Internal Medicine) Physician
- Jellico, TN
National Provider Identifier
1770612236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 26093
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.