CENTER FOR ALLERGY AND ASTHMA SOUTHERN CRESCENT


Address: 1975 Highway 54 W Ste 255, Peachtree City, GA 30269-4794
Phone: 7704590620

CENTER FOR ALLERGY AND ASTHMA SOUTHERN CRESCENT (NPI# 1750902185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750902185
Entity Type Organization
Organization Name CENTER FOR ALLERGY AND ASTHMA SOUTHERN CRESCENT
Practice Address 1975 Highway 54 W Ste 255
Peachtree City
GA 30269-4794
Mailing Address 690 Dallas Hwy Ste 101
Villa Rica
GA 30180-1262
Practice Telephone 7704590620
Practice Fax Number 7704567604
Mailing Telephone 7704590620
Mailing Fax Number 7704567604
Enumeration Date 2020-04-27
Last Update Date 2020-04-27
Authorized Official Name EUGENE HURWITZ (MD)
Authorized Official Telephone 7704590620
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name CENTER FOR ALLERGY & ASTHMA OF GEORGIA PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA NPI 1336364793 01
GA NPI 1568563914 01

Other Provider/Organization Names

Other Name Type Code
Center for Allergy and Asthma Southern Crescent Doing Business As Name - Organization

Office Location

Street Address 1975 HIGHWAY 54 W STE 255
City PEACHTREE CITY
State GA
Zip Code 30269-4794

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750992772 Brian Voyles Pharmacist 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 2020-08-13
1871133066 Imani Scott Physical Therapist 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 2020-01-15
1477191898 Sandra Jo Aletraris Counselor 105 Camp Creek Trail, Peachtree City, GA 30269 2019-12-16
1295372696 Jovon Erika Caldwell Taylor Nurse Practitioner 125 Governors Square, Suite B, Peachtree City, GA 30269 2019-12-04
1376191106 Ryan Goldfine Dpm LLC Podiatrist 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 2019-08-26
1740834092 Shenitta Guyton Psychologist 619 Grecken Grn, Peachtree City, GA 30269 2019-07-25
1063971463 Sarah Elizabeth Epps Speech-Language Pathologist 156 Peachtree East #149, Peachtree City, GA 30269 2019-03-15
1689139362 Resiliency Behavioral Health Services LLC Counselor 145 Govenors Square, Ste A, Fayetteville, GA 30269 2019-02-06
1790256931 Change of Life Companion Homecare LLC Nurse Anesthetist, Certified Registered 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 2018-12-16
1447753686 Kelli M Shelton Counselor 145 A Governor's Sq., Peachtree City, GA 30269 2018-03-14
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053935411 St. Mary's Medical Group, Inc. Allergy & Immunology 1360 Caduceus Way Bldg 200-102, Watkinsville, GA 30677-7349 2020-06-02
1003472036 Annual Wellness Centers of America Allergy & Immunology 753 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4312 2019-05-15
1821567371 Breathe Better Allergy Asthma & Sinus Center, Inc Allergy & Immunology 950 S Enota Dr Ne Ste A, Gainesville, GA 30501-2439 2018-11-14
1982111316 Sofia Miriam Sheikh Allergy & Immunology 4003 Oak Forest Dr Ne, Marietta, GA 30062-8022 2018-01-08
1366969560 Allergy Consulting Group, LLC Allergy & Immunology 5752b Buford Hwy Ne, Doraville, GA 30340-1207 2017-08-28
1235684192 Heather Raborn Allergy & Immunology 1350 Walton Way Ste 5100, Augusta, GA 30901 2016-08-22
1730597196 Allergy Testing Solutions, LLC Allergy & Immunology 789 Hammond Dr, Unit 2510, Sandy Springs, GA 30328-8161 2014-07-30
1164863999 Chih-yin Yeh Allergy & Immunology 5673 Peachtree Dunwoody Rd # 445, Atlanta, GA 30342-1731 2013-07-09
1023352069 Advanced Allergy Inc Allergy & Immunology 5512 Glenridge Dr Ne, Unit A, Atlanta, GA 30342-7213 2012-11-15
1710246848 Syeda Hamadani Allergy & Immunology 4700 Battlefield Pkwy Ste 300, Ringgold, GA 30736-5169 2012-05-09
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Competitor

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City PEACHTREE CITY
Zip Code 30269

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Dataset Information

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.

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