MEDICARE: ACWORTH PULMONARY AND SLEEP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS1201X	Sleep Medicine (Family Medicine) Physician	048833	GA
2	207RP1001X	Pulmonary Disease Physician	048833	GA

General Provider Information

NPI Number	:	1821392101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACWORTH PULMONARY AND SLEEP LLC

Provider Business Mailing Address
First Line	:	4900 IVEY RD NW
Second Line	:	SUITE 1220
City	:	ACWORTH
State	:	GA
Zip	:	30101-4108
Country	:	US
Telephone Number	:	678-361-4848
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 IVEY RD NW
Second Line	:	SUITE 1220
City	:	ACWORTH
State	:	GA
Zip	:	30101-4108
Country	:	US
Telephone Number	:	678-361-4848
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MICHAEL DAVID WALDMAN
Credential	:	MD
Telephone Number	:	678-361-4848

Provider Enumeration Date	:	12/31/2010
Last Update Date	:	01/07/2011

Similar Medicare Providers

1609901479 — DR. ANTHONY DYLAN REACH O.D.
Practice Location Address:

4900 IVEY RD NW STE 1226
ACWORTH, GA
30101-4108

Practice Phone: 770-974-3153
Practice Fax: 770-974-3154

1497981898 — BRIE HEVESY O.D.
Practice Location Address:

4900 IVEY RD NW STE 1226
ACWORTH, GA
30101-4108

Practice Phone: 770-974-3153
Practice Fax: 770-974-3154

1831321207 — MARIETTA EYE OPTICAL INC
Practice Location Address:

4450 CALIBRE CROSSING, NW. , SUITE 1104
ACWORTH, GA
30101-4108

Practice Phone: 678-279-1141
Practice Fax: 678-279-1147

1104497213 — DR. ERIK JOSEPH KELLY OD
Practice Location Address:

4900 IVEY RD NW STE 1226
ACWORTH, GA
30101-4108

Practice Phone: 770-974-3153
Practice Fax:

1851240261 — ONEOPTO GA 1 PLLC
Practice Location Address:

4900 IVEY RD NW STE 1226
ACWORTH, GA
30101-4108

Practice Phone: 770-974-3153
Practice Fax: 770-974-3154

1215686043 — DR. EDSON ALEXIS MD
Practice Location Address:

3501 BAKER RD NW STE 100A
ACWORTH, GA
30101-3706

Practice Phone: 470-267-0620
Practice Fax: 770-999-2746

Directions to “ACWORTH PULMONARY AND SLEEP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.