Provider Demographics
NPI:1194951129
Name:OCONEE SLEEP CENTER
Entity type:Organization
Organization Name:OCONEE SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHEHEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-388-4556
Mailing Address - Street 1:602 CHURCH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-4744
Mailing Address - Country:US
Mailing Address - Phone:912-388-4556
Mailing Address - Fax:912-538-8404
Practice Address - Street 1:602 CHURCH ST UNIT B
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-4744
Practice Address - Country:US
Practice Address - Phone:912-388-4556
Practice Address - Fax:912-538-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511G470043Medicare PIN