Organization Active NPI

Chattahoochee Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Columbus, GA
National Provider Identifier
1932423191
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CHATTAHOOCHEE SLEEP CENTER LLC
Practice address
2410 Double Churches Rd
Ste B
Columbus, GA 31909-2741
Phone
(706) 221-7256
Fax
(706) 221-7254
NPI assigned
Mar 17, 2010
Last updated
Mar 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Authorized official

Name
Bryant Houston
Title
Partner
Phone
(706) 563-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

2410 Double Churches Rd
Ste B
Columbus, GA 31909-2741

Mailing address

PO Box 397
Midland, GA 31820-0397
Phone (706) 221-7256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000570 GA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0547431223 Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

2410 Double Churches Rd
Ste B
Columbus, GA 31909
Phone (706) 221-3934

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330732800000",
    "number": "1932423191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318200397",
            "telephone_number": "706-221-7256",
            "fax_number": "706-221-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 DOUBLE CHURCHES RD",
            "address_2": "STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092741",
            "telephone_number": "706-221-7256",
            "fax_number": "706-221-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTAHOOCHEE SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2012-03-03",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "706-563-1478"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.