Allergy & Asthma Clinic of Northeast Georgia

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

ALLERGY & ASTHMA CLINIC OF NORTHEAST GEORGIA

Practice address

110 S Main St
Hiawassee, GA 30546-3408

Phone

(706) 896-4402

Fax

(770) 532-4049

NPI assigned

Nov 30, 2007

Organization subpart

Yes

Parent organization

ALLERGY & ASTHMA CLINIC OF NORTHEAST GEORGIAAs reported in NPPES

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

Authorized official

Name

Ms. Leslie Morris

Title

Office Manager

Phone

(770) 534-0534

Specialties & licenses 1

Addresses

Part of

Allergy Asthma Clinic

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.

• Allergy & Asthma Clinic of Northeast Georgia

  • Allergy & Immunology Physician
  • Gainesville, GA
  • NPI 1043339229
  NPPES parent name

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1821270992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013779",
            "telephone_number": "770-534-0534",
            "fax_number": "770-532-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463408",
            "telephone_number": "706-896-4402",
            "fax_number": "770-532-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CLINIC OF NORTHEAST GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLERGY & ASTHMA CLINIC OF NORTHEAST GEORGIA",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-534-0534",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Abbott, COTA/L
• Lisa Kim Aiello, FNP-C, PMHNP-C
• Kayla Mashburn Akers
• Aloha Wellness Corporation
• James Anderson
• Jose Matias Arencibia, OD
• Riya Woodruff Bell, M.ED., CCC-SLP
• BJL, Inc.

• All providers in Hiawassee, GA
• Allergy Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.