Allergy & Asthma Clinic of Macon

Primary specialty

SpecialistTaxonomy code 174400000X

License

022621 Issued in GA

Legal business name

ALLERGY & ASTHMA CLINIC OF MACON

Practice address

2076 Ingleside Ave
Macon, GA 31204-2028

Phone

(478) 743-9376

Fax

(478) 743-4670

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

David T Plaxico, M.D

Title

Owner

Phone

(478) 743-9376

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1780865477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 INGLESIDE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042028",
            "telephone_number": "478-743-9376",
            "fax_number": "478-743-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 INGLESIDE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042028",
            "telephone_number": "478-743-9376",
            "fax_number": "478-743-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CLINIC OF MACON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "PLAXICO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-743-9376",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "022621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000270905A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D30479",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010001168",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Allen
• Jennifer Hawkins Allen, M.D.
• Miles S Allen, PTA
• Molly Kate Allen, CNIM
• Allergy & Asthma Center of Middle Georgia, Inc.
• Allergy Associates, PA
• Karine Alleyne, PHARMD
• Bibi Amena Alli-Ramsaroop, MD
• Casey Alligood
• Jessica L Alligood, CNM

• Specialist in Macon, GA
• Providers in Macon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.