NGDC SLEEP MED LAB (NPI# 1720228653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720228653 |
| Entity Type | Organization |
| Organization Name | NGDC SLEEP MED LAB |
| Practice Address |
1240 Jesse Jewell Pkwy Se Suite 500 Gainesville GA 30501-3862 |
| Practice Telephone | 7705369864 |
| Practice Fax Number | 7702975023 |
| Mailing Telephone | 7705369864 |
| Mailing Fax Number | 7702975023 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | DR. WESLEY D HEAD (DIRECTOR) |
| Authorized Official Telephone | 7705369864 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NE GA DIAGNOSTIC CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 40404 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS Q CARE NUMBER | 51000159001 | 01 |
| Street Address |
1240 JESSE JEWELL PKWY SE SUITE 500 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879881 | C. Shane Bussler | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 30501-3861 | 2005-05-23 |
| 1346780251 | Ashley Wilkins | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3862 | 2017-02-27 |
| 1962948422 | Charlsie A Thomas | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2017-01-09 |
| 1780128272 | Lauren H Darnell | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2016-12-19 |
| 1912452061 | Kristina Stefanova James | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501-3862 | 2016-08-18 |
| 1124486238 | Brandon Lee Morrow | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Ste 300, Gainesville, GA 30501-3862 | 2016-02-03 |
| 1427413962 | Sherry Hope Flanagan | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2015-12-29 |
| 1457757593 | Colleen Mccoy | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2014-11-18 |
| 1689009953 | Ernie Loza Aldaco | Registered Nurse | 1240 Jesse Jewell Pkwy Se, Suite 300, Gainesville, GA 30501-3862 | 2013-09-05 |
| 1871838375 | Laura J Johansen | Physical Therapist | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2012-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1528680774 | Allegiant Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2772 Nw 43rd St Ste B2, Gainesville, FL 32606-7434 | 2020-05-11 |
| 1831722909 | Medical Equipment and Supplies of America LLC | Durable Medical Equipment & Medical Supplies | 1614 Nw 55th Pl, Gainesville, FL 32653-2109 | 2020-02-18 |
| 1174005847 | Northeast Georgia Diagnostic Associates and Clinic, LLC | Durable Medical Equipment & Medical Supplies | 1240 Jesse Jewell Pkwy Se Ste 600, Gainesville, GA 30501-3863 | 2018-08-30 |
| 1578060323 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1120 E University Ave Ste 200, Gainesville, FL 32641 | 2018-04-09 |
| 1649776436 | Medtech Thermal Solutions LLC | Durable Medical Equipment & Medical Supplies | 4731 Nw 53rd Ave Ste 3, Gainesville, FL 32653-4808 | 2018-04-02 |
| 1033659727 | Gainesville Group Supply Inc | Durable Medical Equipment & Medical Supplies | 2440 Sw 76th St Ste 140, Gainesville, FL 32608-0345 | 2017-03-01 |
| 1225580921 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 203 Nw 13th St, Gainesville, FL 32601-5698 | 2016-10-28 |
| 1518321892 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4001 Sw 30th Pl, Gainesville, FL 32608-1907 | 2016-04-12 |
| 1871976829 | Robert Lee Frazier IIi | Durable Medical Equipment & Medical Supplies | 1309 Ne 28th Ave, Gainesville, FL 32609-3160 | 2015-07-08 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on NGDC SLEEP MED LAB.
| 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.