PALMETTO SLEEP PC
NPI 1679272017
Clinic/Center - Health Service in Mcdonough, GA

Active since February 24, 2023
70 WESTRIDGE PKWY STE 100, MCDONOUGH, GA 30253(770) 898-3192 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palmetto Sleep Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALMETTO SLEEP PC (NPI 1679272017) is a healthcare organization registered as a health service in Mcdonough, Georgia and active in the NPI registry since February 2023. The organization lists Jordan A Brunson, President, as its authorized official.

NPPES Registry Identity

NPI1679272017
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePALMETTO SLEEP PC
Location Address70 WESTRIDGE PKWY STE 100Mcdonough, GA 30253-3048
Mailing Address70 Westridge Pkwy Ste 100Mcdonough, GA 30253-3048 · (770) 898-3192
Organization SubpartNo
Authorized OfficialJordan A BrunsonPresident · (770) 898-3192
Enumeration DateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
✔ NPI 1679272017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
70 WESTRIDGE PKWY STE 100, Mcdonough, GA 30253

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palmetto Sleep Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20230522003008DME · Oral Surgery - DentistDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Palmetto Sleep PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1861631053
501 PARK ST
Palmetto, GA 30268
(770) 463-4541
✔ PECOS28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palmetto Sleep PC's NPI number?

The NPI number for Palmetto Sleep PC is 1679272017. It was assigned to this organization in the NPPES registry on February 24, 2023.

Where is Palmetto Sleep PC located?

Palmetto Sleep PC is located at 70 Westridge Pkwy Ste 100, Mcdonough, GA 30253. The listed phone number is (770) 898-3192.

What is Palmetto Sleep PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Palmetto Sleep PC enrolled in Medicare?

Yes. Palmetto Sleep PC is registered in the Medicare PECOS enrollment system.

When is Palmetto Sleep PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Oral Surgery - Dentist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Palmetto Sleep PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Palmetto Sleep PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Palmetto Sleep PC was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.