Augusta Allergy and Asthma, LLC
NPI 1003187071ActiveOrganization· Allergy & Immunology· Evans, GA
Allergy & Immunology in Evans, Georgia, registered in NPPES in January 2012. The authorized official on file is Tracie Broome, Office Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003187071 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2012 |
| Last updated in NPPES | Mar 5, 2024 |
| Certified by provider | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Allergy & Immunology Primary | 207K00000X | 045041 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Allergy & Immunology providers in Evans
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