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NPI Code Detail

MEDICARE: FUSION SLEEP LLC

MEDICARE: FUSION 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
1261QM1300XMulti-Specialty Clinic/Center
2207RS0012XSleep Medicine (Internal Medicine) Physician
3207YS0012XSleep Medicine (Otolaryngology) Physician
4174400000XSpecialist
5332B00000XDurable Medical Equipment & Medical Supplies
6207Y00000XOtolaryngology Physician
72084S0012XSleep Medicine (Psychiatry & Neurology) Physician
82080S0012XPediatric Sleep Medicine Physician
9261QS1200XSleep Disorder Diagnostic Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2202G708410OTHERGAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245271113
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUSION SLEEP LLC
Provider Business Mailing Address
First Line : 3650 MANSELL RD STE 100
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-3068
Country : US
Telephone Number : 678-990-3962
Fax Number : 678-623-3862
Provider Business Practice Location Address
First Line : 3650 MANSELL RD STE 100
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-3068
Country : US
Telephone Number : 678-990-3962
Fax Number : 678-623-3862
Authorized Official
Title or Position : CEO
Name : MR. SIGURJON KRISTJANSSON
Credential :
Telephone Number : 678-990-3962
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/19/2026

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Directions to “FUSION SLEEP LLC ” Practice Location

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