NPIMap

Organization Active NPI

Allergy Partners, PLLC

Doing business as Allergy Partners of Coastal Carolina

  • Allergy & Immunology Physician
  • Wilmington, NC
National Provider Identifier
1831189992
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY PARTNERS, PLLC
Doing business as
Allergy Partners of Coastal Carolina
Practice address
1017 Ashes Drive
Suite 206
Wilmington, NC 28405-8308
Phone
(910) 239-9584
Fax
(910) 679-4086
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
David A Brown, MDNPI 1588655609
Title
President/Ceo
Phone
(828) 277-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1017 Ashes Drive
Suite 206
Wilmington, NC 28405-8308

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
230363BOtherNCMEDICARE PTAN
1831189992MedicaidNC

Other names 1

  • Allergy Partners of Coastal Carolina Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628000753 NC Part B Supplier - Clinic/Group Practice 7113822420 Receives reassigned benefits from 47 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arden, NC; Winston Salem, NC; Wilmington, NC; Supply, NC; Spindale, NC; Salisbury, NC; Raleigh, NC; Pinehurst, NC…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2236546Allergy Partners of Coastal Carolinas1017 Ashes Drive Ste 206, Wilmington, NC 28405Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Locations

6781 E US Highway 36
Ste 300
Avon, IN 46123
Phone (317) 272-8095

1159 W Jefferson St
Ste 302
Franklin, IN 46131
Phone (317) 736-7651

8012 E 10th St
Ste A
Indianapolis, IN 46219
Phone (317) 355-6020

9002 N Meridian St
Ste 107
Indianapolis, IN 46260
Phone (317) 848-4070

3266 N Meridian St
Ste 900
Indianapolis, IN 46208
Phone (317) 349-2197

493 Westfield Rd
Noblesville, IN 46060
Phone (317) 773-0002

700 Beverly Hanks Ctr
Hendersonvlle, NC 28792
Phone (828) 692-0488

189 Hospital Dr
Ste A
Spruce Pine, NC 28777
Phone (828) 652-0005

7001 Signal Ave NE
Albuquerque, NM 87113
Phone (505) 826-2735

1651 Galisteo St
Ste 8
Santa Fe, NM 87505
Phone (505) 820-9870

Practitioners & affiliated clinicians

Practitioners 5

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": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1831189992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 ASHES DRIVE",
            "address_2": "SUITE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058308",
            "telephone_number": "910-239-9584",
            "fax_number": "910-679-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "828-277-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "230363B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831189992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Partners of Coastal Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allergy Partners of Coastal Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.