Organization Active NPI

Avant Sleep Disorders Center Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Warner Robins, GA
National Provider Identifier
1881213742
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
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

Updated by the provider on Apr 10, 2020

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)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.