Provider Demographics
NPI:1164476610
Name:SLEEP MEDICINE OF MIDDLE TENNESSEE, P.C.
Entity Type:Organization
Organization Name:SLEEP MEDICINE OF MIDDLE TENNESSEE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BREVARD
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:615-284-7533
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:SUITE G-8
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2131
Mailing Address - Country:US
Mailing Address - Phone:615-284-7533
Mailing Address - Fax:615-284-7575
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:SUITE G-8
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-7533
Practice Address - Fax:615-284-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9739207RP1001X
TN125952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3378687Medicare ID - Type Unspecified
TNB04731Medicare UPIN
TNB03564Medicare UPIN