| Sleep Practitioners, Llc | |
|
275 Sheraton Blvd Ste 100 Macon GA 31210-1359 | |
| (478) 745-5779 | |
| (478) 742-7796 |
| Full Name | Sleep Practitioners, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 275 Sheraton Blvd Ste 100, Macon, Georgia |
| Authorized Official Name and Position | Charles C Wells (DIRECTOR) |
| Authorized Official Contact | 4787455779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sleep Practitioners, Llc 275 Sheraton Blvd Ste 100 Macon GA 31210-1359 Ph: (478) 745-5779 | Sleep Practitioners, Llc 275 Sheraton Blvd Ste 100 Macon GA 31210-1359 Ph: (478) 745-5779 |
| NPI Number | 1023441656 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 05/08/2017 |
| Medicare PECOS PAC ID | 0042444242 |
|---|---|
| Medicare Enrollment ID | O20131001000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023441656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles C Wells |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053332841 PECOS PAC ID: 6103891965 Enrollment ID: I20050121000066 |
| Provider Name | Heather Elaine Kimsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780175141 PECOS PAC ID: 7214286996 Enrollment ID: I20180814003778 |
| Provider Name | Vanessa L Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922563287 PECOS PAC ID: 3577985167 Enrollment ID: I20200629001325 |
| Provider Name | Erica C Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891305496 PECOS PAC ID: 5395157713 Enrollment ID: I20201209000315 |
| Provider Name | Charles Lorenzo Smith |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609335751 PECOS PAC ID: 1951727049 Enrollment ID: I20230929003151 |
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