SOUTHERN ALLERGY AND ASTHMA PC
NPI 1467547281
Allergy & Immunology in Savannah, GA

Active since October 04, 2006CLIA 11D2346590 · Waiver
5223 PAULSEN ST, SAVANNAH, GA 31405(912) 303-9355(912) 303-9356 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 23, 2016, Jan 28, 2016 (2 updates tracked since 2016).

About Southern Allergy And Asthma Pc NPPES

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

SOUTHERN ALLERGY AND ASTHMA PC (NPI 1467547281) is a healthcare organization registered as an allergy & immunology in Savannah, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Jack R Eades, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1467547281
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameSOUTHERN ALLERGY AND ASTHMA PC
Location Address5223 PAULSEN STSavannah, GA 31405
Mailing Address5223 Paulsen StSavannah, GA 31405 · (912) 303-9355 · Fax (912) 303-9356
Fax(912) 303-9356
Organization SubpartNo
Authorized OfficialJack R EadesOwner Physician · (912) 303-9355
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 23, 20162 updates tracked since enumeration
✔ NPI 1467547281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses✔ Licensed in GA · 043360✔ Licensed in SC · 20053
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.
5223 PAULSEN ST, Savannah, GA 31405

Other Identifiers 7

Medicare PINF756890281SC
Medicaid00751264FGA
Medicare PIN03BDBPKGA
Medicare UPINF75689
Medicaid00751264EGA
MedicaidG43360SC
Medicaid00751264DGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Southern Allergy And Asthma PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1215593025
5223 PAULSEN ST.
Savannah, GA 31405
(912) 303-9355
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1861413940
5223 PAULSEN ST
Savannah, GA 31405
(912) 303-9355
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1326129230
1220 BROOKSTONE CENTRE PKWY
Columbus, GA 31904
(706) 324-4012
✔ PECOS✔ Accepts Medicare230 mi
Allergy/Immunology
NPI 1982785895
1220 BROOKSTONE CENTRE PKWY
Columbus, GA 31904
(706) 324-4012
✔ PECOS✔ Accepts Medicare230 mi
Allergy/Immunology
NPI 1396716775
6160 N DAVIS HWY SUITE 3
Pensacola, FL 32504
(850) 473-1121
✔ PECOS✔ Accepts Medicare378 mi
Nurse Practitioner
NPI 1558738930
1295 W FAIRFIELD DR
Pensacola, FL 32501
(850) 595-6500
✔ PECOS✔ Accepts Medicare379 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2346590

Southern Allergy & Asthma PC · Savannah, GA
Active · expires Jul 1, 2028
CLIA Number11D2346590
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorWeily Soong
Laboratory Phone(912) 303-9355
Laboratory LocationSouthern Allergy & Asthma PC5223 Paulsen Street, Savannah, GA 31405
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southern Allergy And Asthma PC's NPI number?

The NPI number for Southern Allergy And Asthma PC is 1467547281. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Southern Allergy And Asthma PC located?

Southern Allergy And Asthma PC is located at 5223 Paulsen St, Savannah, GA 31405. The listed phone number is (912) 303-9355.

What is Southern Allergy And Asthma PC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Southern Allergy And Asthma PC enrolled in Medicare?

Yes. Southern Allergy And Asthma PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Allergy And Asthma PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Allergy And Asthma 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. The largest specialties are Allergy/Immunology (4) and Nurse Practitioner (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Allergy And Asthma PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2346590) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Allergy And Asthma PC accept?

Health plans from Alliant Health Plans, Inc. list Southern Allergy And Asthma 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 Southern Allergy And Asthma PC was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.