NPIMap

Organization Active NPI

Allergy Associates, PA

  • Specialist
  • Greeneville, TN
National Provider Identifier
1972743060
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD04738 Issued in TN
Legal business name
ALLERGY ASSOCIATES, PA
Practice address
1410 Tusculum Blvd
Suite 2300
Greeneville, TN 37745-4286
Phone
(865) 584-8588
Fax
(865) 584-3364
NPI assigned
Mar 2, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Robert M Overholt, MD
Title
President/Owner
Phone
(865) 584-5727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD04738 TN Primary

Addresses

Primary practice location

1410 Tusculum Blvd
Suite 2300
Greeneville, TN 37745-4286

Mailing address

1410 Tusculum Blvd
Suite 2300
Greeneville, TN 37745-4286
Phone (865) 584-8588

Other identifiers 1

IdentifierTypeStateIssuer
3149477MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Allergy Associates23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

1410 Tusculum Blvd
Ste 2300
Greeneville, TN 37745
Phone (423) 823-5190

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1972743060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2300",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454286",
            "telephone_number": "865-584-8588",
            "fax_number": "865-584-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TUSCULUM BLVD",
            "address_2": "SUITE 2300",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454286",
            "telephone_number": "865-584-8588",
            "fax_number": "865-584-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "OVERHOLT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "865-584-5727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD04738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3149477",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.