NPIMap

Organization Active NPI

Allergy Partners, PLLC

Doing business as Allergy Partners of Fayetteville

  • Allergy & Immunology Physician
  • Fayetteville, NC
National Provider Identifier
1073503470
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY PARTNERS, PLLC
Doing business as
Allergy Partners of Fayetteville
Practice address
5085 Morganton Rd
Fayetteville, NC 28314-1523
Phone
(910) 323-3890
Fax
(910) 323-4509
NPI assigned
Oct 26, 2005
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
David A Brown, MDNPI 1588655609
Title
President/Ceo
Phone
(828) 277-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X Primary

Addresses

Primary practice location

5085 Morganton Rd
Fayetteville, NC 28314-1523

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
1073503470MedicaidNC
230363LOtherNCMEDICARE PTAN

Other names 1

  • Allergy Partners of Fayetteville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040628000753 NC Part B Supplier - Clinic/Group Practice 7113822420 Receives reassigned benefits from 47 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arden, NC; Winston Salem, NC; Wilmington, NC; Supply, NC; Spindale, NC; Salisbury, NC; Raleigh, NC; Pinehurst, NC…
O20040910000085 KY Part B Supplier - Clinic/Group Practice 7113822420 Receives reassigned benefits from 3 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crestview Hills, KY; Cynthiana, KY; Florence, KY; Lexington, KY
O20120611000214 IL Part B Supplier - Clinic/Group Practice 7113822420 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arlington Heights, IL; Chicago, IL; Evanston, IL; Orland Park, IL; Park Ridge, IL

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1317 Medical Dr
Fayetteville, NC 28304
Phone (910) 323-3890

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1073503470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 MORGANTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141523",
            "telephone_number": "910-323-3890",
            "fax_number": "910-323-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "828-277-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073503470",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "230363L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Partners of Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allergy Partners of Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.