Allergy Advantage PLLC

Organization Active NPI Allergy & Immunology Physician · Franklin, TN

NPI 1629608948 · NPPES record last updated Jan 26, 2020

Key facts

NPI
1629608948
Entity type
Organization (NPI type 2)
Primary specialty
Allergy & Immunology Physician 207K00000X
Legal business name
ALLERGY ADVANTAGE PLLC
Practice address
1311 W Main St
Franklin, TN 37064-3300
Phone
(615) 472-1855
NPI assigned
Jan 26, 2020
Organization subpart
No

Authorized official

Name
Christina Masters
Title
Manager
Phone
(615) 856-6482

Practitioners 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200430000692 TN Part B Supplier - Clinic/Group Practice 7315377538 Receives reassigned benefits from 4 practitioners
Practice locations: Columbia, TN; Franklin, TN

National Provider Directory

Locations

3046 Columbia Ave
Ste 114
Franklin, TN 37064
Phone (615) 472-1855

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207K00000X Yes

Addresses

Primary practice location

1311 W Main St
Franklin, TN 37064-3300

Mailing address

PO Box 682735
Franklin, TN 37068-2735
Phone (615) 856-6482

Other practice location 1

1609 Rosewood Dr
Columbia, TN 38401-6420
Phone (615) 472-1855

Other providers in Franklin, TN

All providers in Franklin, TN · Allergy & Immunology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.