Elite Sleep Professionals LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

ELITE SLEEP PROFESSIONALS LLC

Practice address

211 Field St
Bremen, GA 30110-2048

Phone

(770) 538-1624

Fax

(770) 299-4349

NPI assigned

Mar 17, 2022

Organization subpart

No

Name

Tina Garrett, BS, RPSGT, RST, CCSH

Title

Ceo

Phone

(770) 538-1624

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melody Johnson, CCSH

  • Other Specialist/Technologist
  • Carrollton, GA
  • NPI 1841803590
  NPD
• Richard John Mikilitus Jr., MD

  • Neurology Physician
  • Carrollton, GA
  • NPI 1760461305
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2023.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1902554033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FIELD ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102048",
            "telephone_number": "770-538-1624",
            "fax_number": "770-299-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FIELD ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102048",
            "telephone_number": "770-538-1624",
            "fax_number": "770-299-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SLEEP PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-538-1624",
        "authorized_official_credential": "BS, RPSGT, RST, CCSH"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Dryden
• Pamela Murphy Dunn, RN
• Cammie Giselle Eaton, DC
• Emmie Victoria Edwards, PHARMD
• Elite Sleep Professionals LLC
• Erin Ellison
• John Endress, L.P.C
• Johannes D Engelbrecht, M.D.
• Diane Elizabeth Engels, SST-2
• Joseph Cameron Entrekin, PHARMD, CDM

• All providers in Bremen, GA
• Sleep Disorder Diagnostic Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.