Organization Active NPI

Southern Allergy & Asthma, PC

  • Allergy & Immunology Physician
  • Pooler, GA
National Provider Identifier
1538529631
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
43360 Issued in GA
Legal business name
SOUTHERN ALLERGY & ASTHMA, PC
Practice address
1000 Towne Center Blvd
Building 500 Suite 305
Pooler, GA 31322-4052
Phone
(912) 721-5150
Fax
(912) 629-0468
NPI assigned
Mar 2, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
April R Young
Title
Manager
Phone
(912) 721-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 43360 GA Primary

Addresses

Primary practice location

1000 Towne Center Blvd
Building 500 Suite 305
Pooler, GA 31322-4052

Mailing address

PO Box 15119
Savannah, GA 31416-1819
Phone (912) 721-5150

National Provider Directory

National Provider Directory

Locations

1000 Towne Center Blvd
Ste 305
Pooler, GA 31322
Phone (912) 352-7902

Practitioners & affiliated clinicians

Practitioners 3

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": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1538529631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15119",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161819",
            "telephone_number": "912-721-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD",
            "address_2": "BUILDING 500 SUITE 305",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224052",
            "telephone_number": "912-721-5150",
            "fax_number": "912-629-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ALLERGY & ASTHMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-721-5150"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "43360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.