NPIMap

Organization Active NPI

Allergy Sinus and Cough Center of Georgia, Inc

  • Allergy & Immunology Physician
  • Peachtree City, GA
National Provider Identifier
1376952234
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
68876 Issued in GA
Legal business name
ALLERGY SINUS AND COUGH CENTER OF GEORGIA, INC
Practice address
4000 Shakerag HL
Suite 300
Peachtree City, GA 30269-4047
Phone
(262) 327-0704
Fax
(678) 669-2401
NPI assigned
Aug 5, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Dr. Ruchir Agrawal, M.D.NPI 1831285618
Title
President
Phone
(262) 327-0704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 68876 GA Primary
Pediatric Allergy/Immunology Physician 2080P0201X 68876 GA

Addresses

Primary practice location

4000 Shakerag HL
Suite 300
Peachtree City, GA 30269-4047

Mailing address

4000 Shakerag HL
Suite 300
Peachtree City, GA 30269-4047
Phone (262) 327-0704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150114000943 GA Part B Supplier - Clinic/Group Practice 5799009064 Receives reassigned benefits from 2 practitioners
Practice locations: Newnan, GA; Peachtree City, GA

National Provider Directory

National Provider Directory

Locations

1255 Johnson Ferry Rd
Ste 2
Marietta, GA 30068

115 Oak Hill Blvd
#100
Newnan, GA 30265
Phone (678) 400-6650

4000 Shakerag Hl
Ste 300
Peachtree City, GA 30269
Phone (262) 327-0704

4000 Shakerag Hl
Ste 301
Peachtree City, GA 30269
Phone (770) 486-7070

115 Genevieve Ct
Peachtree Cty, GA 30269
Phone (678) 400-6650

Practitioners & affiliated clinicians

Practitioners 5

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": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1376952234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SHAKERAG HL",
            "address_2": "SUITE 300",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694047",
            "telephone_number": "262-327-0704",
            "fax_number": "678-669-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHAKERAG HL",
            "address_2": "SUITE 300",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694047",
            "telephone_number": "262-327-0704",
            "fax_number": "678-669-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY SINUS AND COUGH CENTER OF GEORGIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "RUCHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-327-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "68876",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "GA",
            "license": "68876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.