NPIMap

Organization Active NPI

Pulmonary and Sleep Specialists of Piedmont Northeast

  • Pulmonary Disease Physician
  • Dacula, GA
National Provider Identifier
1922844570
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY AND SLEEP SPECIALISTS OF PIEDMONT NORTHEAST
Practice address
2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285
Phone
(770) 586-0300
Fax
(770) 586-0311
NPI assigned
Jul 3, 2024
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Mrs. Carrie Warren
Title
Practice Manager
Phone
(770) 307-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285

Mailing address

2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285
Phone (770) 586-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241107002243 GA Part B Supplier - Clinic/Group Practice 5698209096 Receives reassigned benefits from 18 practitioners
Practice locations: Monroe, GA; Snellville, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1922844570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 HAMILTON CREEK PKWY STE 200",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197285",
            "telephone_number": "770-586-0300",
            "fax_number": "770-586-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 HAMILTON CREEK PKWY STE 200",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197285",
            "telephone_number": "770-586-0300",
            "fax_number": "770-586-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP SPECIALISTS OF PIEDMONT NORTHEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-307-8288",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.