NPIMap

Organization Active NPI

Center for Allergy and Asthma Southern Crescent

  • Allergy & Immunology Physician
  • Peachtree City, GA
National Provider Identifier
1750902185
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
CENTER FOR ALLERGY AND ASTHMA SOUTHERN CRESCENT
Doing business as
Center for Allergy and Asthma Southern Crescent
Practice address
1975 Highway 54 W Ste 255
Peachtree City, GA 30269-4794
Phone
(770) 459-0620
Fax
(770) 456-7604
NPI assigned
Apr 27, 2020
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR ALLERGY & ASTHMA OF GEORGIA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Eugene Hurwitz, MDNPI 1568563914
Title
MD
Phone
(770) 459-0620

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

1975 Highway 54 W Ste 255
Peachtree City, GA 30269-4794

Mailing address

690 Dallas Hwy Ste 101
Villa Rica, GA 30180-1262
Phone (770) 459-0620

Other identifiers 2

IdentifierTypeStateIssuer
1568563914OtherGANPI
1336364793OtherGANPI

Other names 1

  • Center for Allergy and Asthma Southern Crescent Doing business as

National Provider Directory

National Provider Directory
Part of
Center for Allergy Asthma

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1750902185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 DALLAS HWY STE 101",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801262",
            "telephone_number": "770-459-0620",
            "fax_number": "770-456-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 255",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "770-459-0620",
            "fax_number": "770-456-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ALLERGY AND ASTHMA SOUTHERN CRESCENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR ALLERGY & ASTHMA OF GEORGIA PC",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "HURWITZ",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-459-0620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568563914",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336364793",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Allergy and Asthma Southern Crescent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2020; 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.