Organization Active NPI

Specialized Sleep Diagnostic

  • Sleep Specialist (PhD)
  • Atlanta, GA
National Provider Identifier
1831465400
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
License
26474 Issued in GA
Legal business name
SPECIALIZED SLEEP DIAGNOSTIC
Practice address
29 Peachtree Cir NE
Atlanta, GA 30309-3518
Phone
(404) 607-8570
Fax
(404) 815-9282
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Francis B Buda, MD
Title
President
Phone
(404) 607-8570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193400000X SINGLE SPECIALTY GROUP 173F00000X 26474 GA Primary

Addresses

Primary practice location

29 Peachtree Cir NE
Atlanta, GA 30309-3518

Mailing address

29 Peachtree Cir NE
Atlanta, GA 30309-3518
Phone (404) 607-8570

Other identifiers 1

IdentifierTypeStateIssuer
000207248BMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1831465400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PEACHTREE CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093518",
            "telephone_number": "404-607-8570",
            "fax_number": "404-815-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PEACHTREE CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093518",
            "telephone_number": "404-607-8570",
            "fax_number": "404-815-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SLEEP DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "BUDA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-607-8570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "GA",
            "license": "26474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000207248B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.