NPIMap

Organization Active NPI

Allergy & Asthma Clinics of Ga

  • Specialist
  • Albany, GA
National Provider Identifier
1093997447
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALLERGY & ASTHMA CLINICS OF GA
Practice address
105 Spanish CT
Albany, GA 31707-1282
Phone
(229) 438-7100
Fax
(229) 438-9382
NPI assigned
Nov 28, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
T. Alan Moree, C.P.A.
Title
Administrator
Phone
(229) 438-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

105 Spanish CT
Albany, GA 31707-1282

Mailing address

105 Spanish CT
Albany, GA 31707-1282
Phone (229) 438-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000951 GA Part B Supplier - Clinic/Group Practice 1052305919 Receives reassigned benefits from 8 practitioners
Practice locations: Albany, GA

National Provider Directory

National Provider Directory

Locations

105 Spanish Ct
Albany, GA 31707
Phone (229) 438-7100

1038 E Forsyth St
Ste B
Americus, GA 31709
Phone (229) 924-3177

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1093997447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPANISH CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071282",
            "telephone_number": "229-438-7100",
            "fax_number": "229-438-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SPANISH CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071282",
            "telephone_number": "229-438-7100",
            "fax_number": "229-438-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CLINICS OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MOREE",
        "authorized_official_first_name": "T.",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-438-7100",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.