Healthcare Provider Details

I. General information

NPI: 1285847905
Provider Name (Legal Business Name): TOTAL SLEEP DIAGNOSITCS OF GEORGIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HURRICANE SHOALS RD NE BLDG B-800
LAWRENCEVILLE GA
30043-4826
US

IV. Provider business mailing address

4 SAINT ANN DR
MANDEVILLE LA
70471-3265
US

V. Phone/Fax

Practice location:
  • Phone: 770-237-8440
  • Fax: 770-237-9268
Mailing address:
  • Phone: 985-626-6211
  • Fax: 985-626-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number2006018928
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BETSY RIVAS
Title or Position: AR DIRECTOR
Credential:
Phone: 985-626-6211