Organization Active NPI

Children Allergy Testing, LLC

  • Allergy Physician
  • Decatur, GA
National Provider Identifier
1043885635
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
CHILDREN ALLERGY TESTING, LLC
Practice address
2855 Candler Rd Ste 9
Decatur, GA 30034-1415
Phone
(770) 802-0329
Fax
(404) 243-8721
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Runette Flowers, MD
Title
Doctor
Phone
(770) 802-0329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

2855 Candler Rd Ste 9
Decatur, GA 30034-1415

Mailing address

2855 Candler Rd Ste 9
Decatur, GA 30034-1415
Phone (770) 802-0329

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Kareo

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1043885635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CANDLER RD STE 9",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341415",
            "telephone_number": "770-802-0329",
            "fax_number": "404-243-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CANDLER RD STE 9",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341415",
            "telephone_number": "770-802-0329",
            "fax_number": "404-243-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN ALLERGY TESTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "RUNETTE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-802-0329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "address_1": "2855 Candler Rd Ste 9",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300341415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.