Valdosta Allergy, Asthma, & Immunology, PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

VALDOSTA ALLERGY, ASTHMA, & IMMUNOLOGY, PC

Practice address

3334 Greystone Way
Valdosta, GA 31605-1096

Phone

(229) 247-1667

Fax

(229) 245-7661

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Juan C Guarderas, MDNPI 1902893290

Title

Owner

Phone

(229) 247-1667

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Juan C Guarderas, MD

  • Allergy & Immunology Physician
  • Valdosta, GA
  • NPI 1902893290
  NPD Authorized official

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1235865627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316043068",
            "telephone_number": "229-247-1667",
            "fax_number": "229-245-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 GREYSTONE WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051096",
            "telephone_number": "229-247-1667",
            "fax_number": "229-245-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA ALLERGY, ASTHMA, & IMMUNOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "GUARDERAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-247-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000892966F",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmorgan@maranathamd.com",
            "affiliation": "N",
            "endpointDescription": "Company administrator",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3334 Greystone Way",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316051096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Louis A. Uwagerikpe, M.D.
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• Valdosta Advanced Healing Inc
• Valdosta Anesthesia Associates, P.C.
• Valdosta Blood and Cancer Center
• Valdosta Center for Cosmetic Dentistry, Inc
• Valdosta Center for Sleep Apnea Snoring & TMJ LLC
• Valdosta Children'S Healthcare Center ,LLC

• Allergy Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Allergy Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.