Asthma Allergy and Immunology Clinic LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

ASTHMA ALLERGY AND IMMUNOLOGY CLINIC LLC

Practice address

147 N Park TRL
Stockbridge, GA 30281-7373

Phone

(678) 489-7901

Fax

(833) 559-0864

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Hosamane S Prabhakara, MDNPI 1851364749

Title

President

Phone

(678) 489-7901

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hosamane S Prabhakara, MD

  • Allergy & Immunology Physician
  • Fort Gordon, GA
  • NPI 1851364749

  GA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1154080786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 PENINSULA OVERLOOK",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286062",
            "telephone_number": "678-489-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N PARK TRL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817373",
            "telephone_number": "678-489-7901",
            "fax_number": "833-559-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA ALLERGY AND IMMUNOLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "PRABHAKARA",
        "authorized_official_first_name": "HOSAMANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-489-7901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthritis Research & Treatment Center
• Terinesha R Artis
• Kathryn Erica Arvo Mackenzie, RPH, PHARMD
• Ascension Hospice & Palliative Care, Inc.
• Darryl Askew
• Athalia Health System Corp.
• Atlanta Kidney Specialists LLC
• Atlanta Knee and Shoulder Clinic PC
• Atlanta Neurology and Electrodiagnostic Center, PC
• Atlanta Pharmacy Group, Inc.

• Allergy & Immunology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Allergy & Immunology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.