ALLERGY & ASTHMA CLINIC OF NORTHEAST GEORGIA (NPI# 1043339229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043339229 |
| Entity Type | Organization |
| Organization Name | ALLERGY & ASTHMA CLINIC OF NORTHEAST GEORGIA |
| Practice Address |
520 Jesse Jewell Pkwy Se Gainesville GA 30501-3779 |
| Practice Telephone | 7705340534 |
| Practice Fax Number | 7705324049 |
| Mailing Telephone | 7705340534 |
| Mailing Fax Number | 7705324049 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL JAMES MALONEY (PRESIDENT) |
| Authorized Official Telephone | 7705340534 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821270992 | Allergy & Asthma Clinic of Northeast Georgia | Allergy & Immunology | 110 S Main St, Hiawassee, GA 30546-3408 | 2007-11-30 |
| Street Address |
520 JESSE JEWELL PKWY SE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245340264 | Medlink Georgia Inc | Clinic/Center | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2006-08-30 |
| 1730645219 | Tiffany Payne | Nurse Practitioner | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2019-02-20 |
| 1881158616 | Medlink Georgia, Inc | Pharmacy | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2019-01-25 |
| 1205373685 | Abigail Nevitt | Physician Assistant | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2017-01-24 |
| 1457729899 | Lauren Keith Ingram | Nurse Practitioner | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2015-09-02 |
| 1669882742 | Jennifer Copper | Nurse Practitioner | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2014-04-29 |
| 1366561565 | Mary Donell Ducote | Nurse Practitioner | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821567371 | Breathe Better Allergy Asthma & Sinus Center, Inc | Allergy & Immunology | 950 S Enota Dr Ne Ste A, Gainesville, GA 30501-2439 | 2018-11-14 |
| 1801099890 | Amy Whitmire Boyd | Allergy & Immunology | 528 Broad St Se Ste B, Gainesville, GA 30501-3728 | 2007-06-07 |
| 1871709063 | Mario Rodenas | Allergy & Immunology | 4197 Nw 86th Ter, Gainesville, FL 32606-9278 | 2007-05-15 |
| 1508892118 | Madhukar K. Punja | Allergy & Immunology | 1173 Nw 64th Ter, Gainesville, FL 32605-4218 | 2006-06-24 |
| 1760445852 | Ronald G Beebe | Allergy & Immunology | 950 S Enota Dr Ne, Gainesville, GA 30501 | 2006-04-10 |
| 1912901844 | Michael James Maloney | Allergy & Immunology | 100 College Ave Se, Gainesville, GA 30501-4510 | 2005-06-09 |
| 1013463058 | Advanced Allergy of North Ga | Allergy & Immunology | 100 College Ave Se, Gainesville, GA 30501-4510 | 2016-08-30 |
| 1861793192 | Leilanie Perez Ramirez | Allergy & Immunology | 1600 Sw Archer Rd, Box 100296, Gainesville, FL 32610-0296 | 2010-11-03 |
| 1225127129 | Tamara Susan Smith | Allergy & Immunology | 14535 John Marshall Hwy, Suite 212, Gainesville, VA 20155-4023 | 2006-10-11 |
| 1508887621 | Kimberley P Shanks | Allergy & Immunology | 2510 Limestone Pkwy, Gainesville, GA 30501-2089 | 2006-07-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on ALLERGY & ASTHMA CLINIC OF NORTHEAST GEORGIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.