THE SOUTHEAST ASTHMA AND ALLERGY CENTER PC
NPI 1295012631
Allergy & Immunology - Allergy in Tallahassee, FL

Active since November 14, 2011
2804 REMINGTON GREEN CIR STE 1, TALLAHASSEE, FL 32308(850) 656-6269(850) 877-5270 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Southeast Asthma And Allergy Center Pc NPPES

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

THE SOUTHEAST ASTHMA AND ALLERGY CENTER PC (NPI 1295012631) is a healthcare organization registered as an allergy in Tallahassee, Florida and active in the NPI registry since November 2011. The organization lists Randolph Augustus Malone, Physician, as its authorized official.

NPPES Registry Identity

NPI1295012631
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameTHE SOUTHEAST ASTHMA AND ALLERGY CENTER PC
Location Address2804 REMINGTON GREEN CIR STE 1Tallahassee, FL 32308-8707
Mailing Address511 Gordon AveThomasville, GA 31792-6645 · (229) 226-5616 · Fax (229) 226-7132
Fax(850) 877-5270
Organization SubpartNo
Authorized OfficialRandolph Augustus MalonePhysician · (850) 656-6269
Enumeration DateNovember 14, 2011
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
✔ NPI 1295012631 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 · 0034412
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
2804 REMINGTON GREEN CIR STE 1, Tallahassee, FL 32308

Other Identifiers 1

Medicaid000465671AGA

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Southeast Asthma And Allergy Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Southeast Asthma And Allergy Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Allergy/Immunology
NPI 1497726814
2804 REMINGTON GREEN CIRCLE STE1
Tallahassee, FL 32308
(850) 656-6269
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The Southeast Asthma And Allergy Center PC's NPI number?

The NPI number for The Southeast Asthma And Allergy Center PC is 1295012631. It was assigned to this organization in the NPPES registry on November 14, 2011.

Where is The Southeast Asthma And Allergy Center PC located?

The Southeast Asthma And Allergy Center PC is located at 2804 Remington Green Cir Ste 1, Tallahassee, FL 32308. The listed phone number is (850) 656-6269.

What is The Southeast Asthma And Allergy Center PC's specialty?

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

Is The Southeast Asthma And Allergy Center PC enrolled in Medicare?

Yes. The Southeast Asthma And Allergy Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Southeast Asthma And Allergy Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to The Southeast Asthma And Allergy Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Southeast Asthma And Allergy Center PC accept?

Health plans from Capital Health Plan list The Southeast Asthma And Allergy Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Southeast Asthma And Allergy Center PC was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.