NPIMap

Organization Active NPI

Premier Allergist of Florida LLC

Doing business as Allervie Health

  • Allergy & Immunology Physician
  • The Villages, FL
National Provider Identifier
1831965417
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
PREMIER ALLERGIST OF FLORIDA LLC
Doing business as
Allervie Health
Practice address
2793 Brownwood Blvd
The Villages, FL 32163
Phone
(352) 259-0151
Fax
(352) 259-0413
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER ALLERGIST OF FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Samuel Altman
Title
VP RCM
Phone
(469) 209-8355

Specialties & licenses 1

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

Addresses

Primary practice location

2793 Brownwood Blvd
The Villages, FL 32163

Mailing address

4975 Preston Park Blvd Ste 800
Plano, TX 75093-5152
Phone (469) 209-8355

Other names 1

  • Allervie Health Doing business as

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
10D2299062Premier Allergist of Florida LLC2793 Brownwood Blvd, The Villages, FL 32163Certificate of waiverFeb 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Donna M Jamieson MD18 organizations share this tax ID, including this one
Part of
Donna M Jamieson MD

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

4975 Preston Park Blvd
Ste 800
Plano, TX 75093

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1831965417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 PRESTON PARK BLVD STE 800",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935152",
            "telephone_number": "469-209-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 BROWNWOOD BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32163",
            "telephone_number": "352-259-0151",
            "fax_number": "352-259-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ALLERGIST OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER ALLERGIST OF FLORIDA LLC",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP RCM",
        "authorized_official_telephone_number": "469-209-8355"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allervie Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.