AUGUSTA FAMILY ALLERGY & IMMUNOLOGY
NPI 1255372041
Allergy & Immunology - Allergy in Evans, GA

Active since June 10, 2006
418 TOWN PARK BLVD, STE 1A, EVANS, GA 30809(706) 650-1662(706) 854-2131 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Augusta Family Allergy & Immunology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUGUSTA FAMILY ALLERGY & IMMUNOLOGY (NPI 1255372041) is a healthcare organization registered as an allergy in Evans, Georgia and active in the NPI registry since June 2006. The organization lists Vanitcha R Pintavorn, Owner, as its authorized official.

NPPES Registry Identity

NPI1255372041
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameVANITCHA R PINTAVORN
Location Address418 TOWN PARK BLVD, STE 1AEvans, GA 30809-3090
Mailing Address418 Town Park Blvd, Ste 1aEvans, GA 30809-3090 · (706) 650-1662 · Fax (706) 854-2131
Fax(706) 854-2131
Organization SubpartNo
Authorized OfficialVanitcha R PintavornOwner · (706) 650-1662
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 11, 2008
NPI 1255372041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in GA · 048291
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
418 TOWN PARK BLVD, Evans, GA 30809

Other Names 1

Doing Business AsAugusta Family Allergy & Immunology

Other Identifiers 5

Medicaid000894154DGA
Other52837117GA · Bcbs
Medicare ID-Type Unspecified03BRBRDGA
Medicare UPINH33363GA
MedicaidG48291SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology (Allergy)
418 TOWN PARK BLVD, SUITE 1A
EVANS, GA 30809
Durable Medical Equipment & Medical Supplies
418 TOWN PARK BLVD, STE 1 B
EVANS, GA 30809
Nursing Care
418 TOWN PARK BLVD, STE 1-B
EVANS, GA 30809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanitcha R Pintavorn's NPI number?

The NPI number for Vanitcha R Pintavorn is 1255372041. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Augusta Family Allergy & Immunology.

Where is Vanitcha R Pintavorn located?

Vanitcha R Pintavorn is located at 418 Town Park Blvd Ste 1A, Evans, GA 30809. The listed phone number is (706) 650-1662.

What is Vanitcha R Pintavorn's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

When was this NPI record last updated?

The NPPES record for Vanitcha R Pintavorn was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.