Individual provider Active NPI

John Michael Halwig, MD

  • Allergy Physician
  • Austell, GA
National Provider Identifier
1841230760
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
27558 Issued in GA
Practice address
1620 Mulkey Rd
Ste 100
Austell, GA 30106
Phone
(770) 953-3331
Fax
(770) 739-9609
NPI assigned
Jun 8, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 27558 GA Primary

Addresses

Primary practice location

1620 Mulkey Rd
Ste 100
Austell, GA 30106

Mailing address

8200 Roberts Dr Ste 450
Sandy Springs, GA 30350-4115
Phone (770) 952-8612

Other practice location 1

4645 Timber Ridge Dr Ste 160
Douglasville, GA 30135-7542
Phone (770) 953-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000398 GA Practitioner - Allergy/Immunology 6608990932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27558GAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Allergy & Asthma Clinic PA Allergy & Immunology CurrentSince Aug 26, 1999 Accepting new patients

Locations

1965 N Park Pl SE
#200
Atlanta, GA 30339
Phone (404) 585-3724

1620 Mulkey Rd
Ste 100
Austell, GA 30106
Phone (770) 948-3774

100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000

4645 Timber Ridge Dr
Ste 160
Douglasville, GA 30135
Phone (678) 434-0374

114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723

8200 Roberts Dr
Ste 450
Sandy Springs, GA 30350

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1841230760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 ROBERTS DR STE 450",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303504115",
            "telephone_number": "770-952-8612",
            "fax_number": "678-803-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MULKEY RD",
            "address_2": "STE 100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-953-3331",
            "fax_number": "770-739-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4645 Timber Ridge Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301357542",
            "country_code": "US",
            "telephone_number": "770-953-3331",
            "fax_number": "770-942-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALWIG",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "27558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.