Active NPI
Avant Sleep Disorders Center Inc.
- Sleep Medicine (Internal Medicine) Physician
- Warner Robins, GA
National Provider Identifier
1881213742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- AVANT SLEEP DISORDERS CENTER INC.
- Practice address
- 524 S Houston Lake Rd Ste E200
Warner Robins, GA 31088-9057 - Phone
- (478) 953-0262
- NPI assigned
- Apr 10, 2020
- 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
- Paul Noles
- Title
- Coo
- Phone
- (478) 363-9250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | Primary |
Addresses
Primary practice location
524 S Houston Lake Rd Ste E200
Warner Robins, GA 31088-9057
Mailing address
463 Pooler Pkwy # 163
Pooler, GA 31322-5102
National Provider Directory
National Provider DirectoryLocations
114 Constitution Dr
Ste 1100
Warner Robins, GA 31088
Phone (478) 275-1744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586476800000",
"number": "1881213742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 POOLER PKWY # 163",
"city": "POOLER",
"state": "GA",
"postal_code": "313225102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 S HOUSTON LAKE RD STE E200",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310889057",
"telephone_number": "478-953-0262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVANT SLEEP DISORDERS CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A",
"authorized_official_last_name": "NOLES",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "478-363-9250"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.