Organization Active NPI

Georgia Sleep and Neurodiagnostic

  • Sleep Disorder Diagnostic Clinic/Center
  • Stockbridge, GA
National Provider Identifier
1821318452
Registry record updated Jun 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
GEORGIA SLEEP AND NEURODIAGNOSTIC
Practice address
1022 Landing PT
Stockbridge, GA 30281-9066
Phone
(404) 952-9443
NPI assigned
Jun 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2010

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

Authorized official

Name
Dr. Andre Lotus Morissette, ND,
Title
Ceo/
Phone
(404) 952-9443

Specialties & licenses 2

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

Addresses

Primary practice location

1022 Landing PT
Stockbridge, GA 30281-9066

Mailing address

1022 Landing PT
Stockbridge, GA 30281-9066
Phone (404) 952-9443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275696000000",
    "number": "1821318452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 LANDING PT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819066",
            "telephone_number": "404-952-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 LANDING PT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819066",
            "telephone_number": "404-952-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SLEEP AND NEURODIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-05",
        "last_updated": "2010-06-05",
        "status": "A",
        "authorized_official_last_name": "MORISSETTE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "LOTUS",
        "authorized_official_title_or_position": "CEO/",
        "authorized_official_telephone_number": "404-952-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND,"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 5, 2010; 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.