Organization Active NPI

Reliance Sleep Centers of America Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Blackshear, GA
National Provider Identifier
1861731663
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
RELIANCE SLEEP CENTERS OF AMERICA INC
Practice address
993 Yeomans St
Blackshear, GA 31516-2083
Phone
(912) 807-0904
Fax
(912) 807-0904
NPI assigned
Feb 14, 2013
Organization subpart
Yes
Parent organization
RELIANCE SLEEP CENTERS OF AMERICA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Mr. Mike Shehee, RPSGT, RST
Title
Ceo
Phone
(912) 388-4556

Specialties & licenses 1

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

Addresses

Primary practice location

993 Yeomans St
Blackshear, GA 31516-2083

Mailing address

87 Lindsey Lane
Unit a
Kingsland, GA 31548-6836
Phone (912) 576-6831

Other identifiers 1

IdentifierTypeStateIssuer
528406168AMedicaidGA

Other names 1

  • RELIANCE SLEEP CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reliance Sleep Centers of America Inc2 organizations share this tax ID, including this one
Part of
Reliance Sleep Centers of America Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

993 Yeomans St
Blackshear, GA 31516
Phone (912) 807-0904

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1861731663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 LINDSEY LANE",
            "address_2": "UNIT A",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486836",
            "telephone_number": "912-576-6831",
            "fax_number": "912-576-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 YEOMANS ST",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315162083",
            "telephone_number": "912-807-0904",
            "fax_number": "912-807-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE SLEEP CENTERS OF AMERICA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANCE SLEEP CENTERS OF AMERICA INC",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "SHEHEE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-388-4556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT, RST"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528406168A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RELIANCE SLEEP CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackshear, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.