Active NPI
Howard J Silk, MD
- Allergy & Immunology Physician
- Fayetteville, GA
National Provider Identifier
1912944828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 29785
- Practice address
- 1240 Highway 54 W
Building 300 Suite 310
Fayetteville, GA 30214-4557 - Phone
- (770) 953-3331
- Fax
- (770) 460-2941
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 29785 | GA | Primary |
Addresses
Primary practice location
1240 Highway 54 W
Building 300 Suite 310
Fayetteville, GA 30214-4557
Mailing address
8200 Roberts Dr Ste 450
Sandy Springs, GA 30350-4115
Phone (770) 952-8612
Other practice location 1
2300 Henderson Mill Rd NE Ste 230
Atlanta, GA 30345-2704
Phone (770) 953-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29785 | GA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Allergy & Immunology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Charlotte, NC
- NPI 1215573423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1912944828",
"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": "1240 HIGHWAY 54 W",
"address_2": "BUILDING 300 SUITE 310",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144557",
"telephone_number": "770-953-3331",
"fax_number": "770-460-2941"
}
],
"practiceLocations": [
{
"address_1": "2300 Henderson Mill Rd NE Ste 230",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303452704",
"country_code": "US",
"telephone_number": "770-953-3331",
"fax_number": "770-496-4955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILK",
"first_name": "HOWARD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "GA",
"license": "29785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.