Active NPI
Sleepmed, Inc
- Sleep Disorder Diagnostic Clinic/Center
- Dalton, GA
National Provider Identifier
1821293853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SLEEPMED, INC
- Practice address
- 1210 Broadrick Dr
Dalton, GA 30720-2503 - Phone
- (978) 536-7400
- NPI assigned
- Jun 19, 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
- Carl R Iberger
- Title
- Evp-Cfo
- Phone
- (978) 536-6147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
1210 Broadrick Dr
Dalton, GA 30720-2503
Mailing address
60 Chastain Center Blvd NW
Suite 66
Kennesaw, GA 30144-5598
Phone (978) 536-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470001139 | Other | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1210 Broadrick Dr
Ste C
Dalton, GA 30720
Phone (706) 259-1851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1821293853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CHASTAIN CENTER BLVD NW",
"address_2": "SUITE 66",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445598",
"telephone_number": "978-536-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 BROADRICK DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202503",
"telephone_number": "978-536-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEPMED, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "IBERGER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EVP-CFO",
"authorized_official_telephone_number": "978-536-6147"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "470001139",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.