ADVANCED SLEEP LABORATORY-DUNWOODY (NPI# 1477625051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477625051 |
| Entity Type | Organization |
| Organization Name | ADVANCED SLEEP LABORATORY-DUNWOODY |
| Practice Address |
960 Johnson Ferry Rd Ne Suite 200 Atlanta GA 30342-1631 |
| Mailing Address |
750 Hammond Dr Ne Bldg 19 Suite 100 Atlanta GA 30328-6151 |
| Practice Telephone | 4047050855 |
| Mailing Telephone | 4047050855 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-01-09 |
| Authorized Official Name | DR. SAMUEL A MICKELSON (PHYSICIAN) |
| Authorized Official Telephone | 4047050855 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
159916 | GA | Ambulatory Health Care Facilities |
| Street Address |
960 JOHNSON FERRY RD NE SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112198 | Alan I Segal | Audiologist | 960 Johnson Ferry Rd Ne, Ste 200, Atlanta, GA 30342-1631 | 2005-05-23 |
| 1245628957 | Maryann Reuben | Specialist/Technologist, Other | 960 Johnson Ferry Rd Ne, Suite 120, Atlanta, GA 30342 | 2015-01-05 |
| 1679917835 | Comprehensive Internal Medicine At Northside | Internal Medicine | 960 Johnson Ferry Rd Ne, Suite 543, Atlanta, GA 30342-1631 | 2013-04-18 |
| 1881957553 | Allison M Sugg | Physician Assistant | 960 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1631 | 2012-06-19 |
| 1922392190 | Center for Pediatric Wellness, P.C. | Pediatrics | 960 Johnson Ferry Rd Ne, Suite 315, Atlanta, GA 30342-1631 | 2011-06-06 |
| 1780910737 | Faraa Mobini | Physician Assistant | 960 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1631 | 2009-10-27 |
| 1376779322 | Village Podiatry Group, P.C. | Podiatrist | 960 Johnson Ferry Rd Ne, Suite 310, Atlanta, GA 30342-1631 | 2009-06-04 |
| 1255597282 | Plastic Surgery Institute of Atlanta, P.C. | Plastic Surgery | 960 Johnson Ferry Rd Ne, Suite 245, Atlanta, GA 30342-1631 | 2008-07-30 |
| 1912165382 | Mervyn B Forman Md, L.l.c | Internal Medicine | 960 Johnson Ferry Rd Ne, Ste 530, Atlanta, GA 30342-1631 | 2008-06-02 |
| 1275722811 | Raymond V. Caputo, M.d.,p.c. | Dermatology | 960 Johnson Ferry Rd Ne, Suite 226, Atlanta, GA 30342-1631 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144467994 | Sleepmed, Inc. | Clinic/Center | 1 Baltimore Place, Suite 208, Atlanta, GA 30308 | 2009-01-15 |
| 1639414717 | Nevada Sleep Diagnostics, Inc. | Clinic/Center | 5555 Glenridge Connector Ne, Suite 200, Atlanta, GA 30342-4759 | 2012-11-30 |
| 1518201847 | Nevada Sleep Diagnostics, Inc | Clinic/Center | 5555 Glenridge Connector Ne, # 200, Atlanta, GA 30342-4759 | 2012-11-27 |
| 1770837668 | Hypnos Sleep Testing, LLC | Clinic/Center | 200 Galleria Pkwy Se, Suite 100, Atlanta, GA 30339-5918 | 2012-10-31 |
| 1801116694 | Total Sleep Diagnostics, Inc. | Clinic/Center | 1720 Peachtree St Nw, Suite 140, Atlanta, GA 30309-2449 | 2010-06-03 |
| 1063748671 | Watermark Medical, Inc. | Clinic/Center | 1117 Perimeter Center West, Suite W514, Atlanta, GA 30338 | 2009-11-02 |
| 1912230582 | Total Sleep Diagnostics, Inc. | Clinic/Center | 3200 Cobb Galleria Pkwy, Ste 245, Atlanta, GA 30339-5927 | 2009-09-14 |
| 1477794915 | Piedmont Specialties Sleep Center, LLC | Clinic/Center | 1720 Peachtree St Nw, Suite 140, Atlanta, GA 30309-2449 | 2009-03-12 |
| 1992965719 | People Sleep LLC | Clinic/Center | 1100 Johnson Ferry Rd Ne, Suite 420, Atlanta, GA 30342-1709 | 2008-06-16 |
| 1639339047 | Atlanta Sleep Medicine Clinic, LLC | Clinic/Center | 1100 Johnson Ferry Rd Ne, Suite 420, Atlanta, GA 30342-1709 | 2008-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.