MEDICARE: PREMIER SLEEP SERVICES, 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	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1215102546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER SLEEP SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 20048
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25362-1048
Country	:	US
Telephone Number	:	304-720-1981
Fax Number	:	304-720-1874

Provider Business Practice Location Address
First Line	:	1928 RANDOLPH RD
Second Line	:	SUITE 111
City	:	CHARLOTTE
State	:	NC
Zip	:	28207-1105
Country	:	US
Telephone Number	:	704-688-0803
Fax Number	:	704-333-0115

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN E. BARGER III
Credential	:
Telephone Number	:	800-486-2620

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	02/06/2013

Similar Medicare Providers

1124061924 — DR. CHARLES CHIKE ANIKWUE MD
Practice Location Address:

1928 RANDOLPH RD , STE. 206
CHARLOTTE, NC
28207-1105

Practice Phone: 704-332-3308
Practice Fax: 704-332-3358

1982795886 — ROBERT KEVIN STACK M.D.
Practice Location Address:

1928 RANDOLPH RD STE 308
CHARLOTTE, NC
28207-1105

Practice Phone: 704-333-1363
Practice Fax: 704-333-6617

1710070974 — CHARLOTTE AUDIOLOGY SERVICES
Practice Location Address:

1928 RANDOLPH RD STE 100
CHARLOTTE, NC
28207-1105

Practice Phone: 704-377-0375
Practice Fax: 704-342-4737

1356524037 — COMPREHENSIVE FOOT AND ANKLE CENTER,PA
Practice Location Address:

1928 RANDOLPH RD , SUITE 214
CHARLOTTE, NC
28207-1105

Practice Phone: 704-562-6384
Practice Fax:

1215107834 — CHARLOTTE WOMENS PAVILION
Practice Location Address:

1928 RANDOLPH RD , SUITE 206
CHARLOTTE, NC
28207-1105

Practice Phone: 704-332-3308
Practice Fax: 704-332-3358

1497995450 — EMMETT C. MATHEWS, JR, MD PA
Practice Location Address:

1928 RANDOLPH RD , SUITE 215
CHARLOTTE, NC
28207-1105

Practice Phone: 704-332-3632
Practice Fax: 704-332-3891

Directions to “PREMIER SLEEP SERVICES, 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.