Healthcare Provider Details

I. General information

NPI: 1013851401
Provider Name (Legal Business Name): GOODSLEEP OF GA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5588 FORSYTH RD
MACON GA
31210-2117
US

IV. Provider business mailing address

5588 FORSYTH RD
MACON GA
31210-2117
US

V. Phone/Fax

Practice location:
  • Phone: 478-957-4937
  • Fax:
Mailing address:
  • Phone: 478-957-4937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM B SMISSON
Title or Position: OWNER
Credential: MD
Phone: 478-957-4937