PCW Allergy LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

PCW ALLERGY LLC

Doing business as

PCW Allergy & Asthma

Practice address

1506 Klondike Rd SW Ste 205
Conyers, GA 30094-5173

Phone

(470) 377-6106

NPI assigned

Aug 23, 2021

Last updated

Nov 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Chantel G Runnels, MBA

Title

Director of Operations

Phone

(470) 552-2277

Specialties & licenses 2

Addresses

Other names 1

• PCW Allergy & Asthma Doing business as

Electronic endpoints 2

Interoperability endpoints

• Direct secure messaging: admin@pcwallergy.com
• Direct secure messaging: info@pcwallergy.com

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1245906981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 KLONDIKE RD SW STE 205",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945173",
            "telephone_number": "470-377-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 KLONDIKE RD SW STE 205",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945173",
            "telephone_number": "470-377-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCW ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-11-22",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "RUNNELS",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "470-552-2277",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@pcwallergy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1506 Klondike Rd SW Ste 205",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300945173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@pcwallergy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1506 Klondike Rd SW Ste 205",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300945173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PCW Allergy & Asthma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PCW Allergy & Asthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janelle Paustian
• Amber Paxton, LPC
• Linda Linnette Payne, FNP-C
• Jacquelyn Paynter
• Jaadir Payton
• Peace Be Still Transportation
• Peach Family Homecare
• Peachtree Home Health, LLC (BridgeWay Home Health)
• Kevin H Peacock, MD
• Wilerica Peagler, RBT

• Allergy & Immunology Physician in Conyers, GA
• Providers in Conyers, 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 Nov 22, 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.