Palmetto Sleep PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PALMETTO SLEEP PC

Practice address

501 Park St
Palmetto, GA 30268-1007

Phone

(770) 463-4541

Fax

(770) 463-9184

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Brunson, DDSNPI 1861631053

Title

President

Phone

(706) 580-9670

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Albert Brunson, D.D.S.

  • General Practice Dentistry
  • Palmetto, GA
  • NPI 1861631053
  Authorized official Same address or phone

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1891420246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PARK ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681007",
            "telephone_number": "770-463-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARK ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681007",
            "telephone_number": "770-463-4541",
            "fax_number": "770-463-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SLEEP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-580-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Family Dental, PC
• Palmetto Health Council Inc (Community Medical Center)
• Palmetto Health Council Inc (Palmetto Health Council Pharmacy)
• Palmetto Health Council Inc (Community Medical Center)
• Palmetto Health Council, Inc. (YourTownHealth)
• Palmetto Sleep, PC
• Gabriela Pena, M.D.
• Alanna Perlin, MD
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Premier Personal Health Services, LLC (Premier Cla)

• Health Service Clinic/Center in Palmetto, GA
• Providers in Palmetto, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.