Organization Active NPI

Sound Sleep Neurology PLLC

  • Neurology Physician
  • Fayetteville, NC
National Provider Identifier
1992350623
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SOUND SLEEP NEUROLOGY PLLC
Practice address
345 Devers St Ste 102
Fayetteville, NC 28303-4753
Phone
(252) 643-2442
Fax
(252) 643-2443
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Gregory D Mieden, MDNPI 1104879154
Title
President/Ceo
Phone
(252) 643-2442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

345 Devers St Ste 102
Fayetteville, NC 28303-4753

Mailing address

935 E Mountain St Ste M
Kernersville, NC 27284-3238
Phone (336) 310-4712

Other practice location 1

1136 Hwy 258 N Ste 102B
Kinston, NC 28504-8304
Phone (252) 643-2442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1992350623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E MOUNTAIN ST STE M",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843238",
            "telephone_number": "336-310-4712",
            "fax_number": "336-450-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DEVERS ST STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034753",
            "telephone_number": "252-643-2442",
            "fax_number": "252-643-2443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 Hwy 258 N Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285048304",
            "country_code": "US",
            "telephone_number": "252-643-2442",
            "fax_number": "252-643-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUND SLEEP NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "MIEDEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "252-643-2442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.