MIDDLE GEORGIA ALLERGY ASTHMA AND IMMUNOLOGY CENTER LLC
NPI 1487365524
Allergy & Immunology in Macon, GA

Active since December 09, 2022
3964 ELNORA DR, MACON, GA 31210(478) 477-1777(478) 477-1779 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2022, Dec 9, 2022 (2 updates tracked since 2022).

About Middle Georgia Allergy Asthma And Immunology Center Llc NPPES

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

MIDDLE GEORGIA ALLERGY ASTHMA AND IMMUNOLOGY CENTER LLC (NPI 1487365524) is a healthcare organization registered as an allergy & immunology in Macon, Georgia and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Warner Robins and lists Venkat Divya Vangala, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1487365524
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameMIDDLE GEORGIA ALLERGY ASTHMA AND IMMUNOLOGY CENTER LLC
Location Address3964 ELNORA DRMacon, GA 31210-1825
Mailing Address3964 Elnora DrMacon, GA 31210-1825 · (478) 731-7235 · Fax (478) 477-1779
Fax(478) 477-1779
Organization SubpartNo
Authorized OfficialVenkat Divya VangalaPractice Manager · (478) 731-7235
Enumeration DateDecember 9, 2022
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
NPI 1487365524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
3964 ELNORA DR, Macon, GA 31210

Secondary Practice Location 1

Location 1402 Osigian Blvd Ste 600Warner Robins, GA 31088-8994 · Phone (478) 477-1777 · Fax (478) 477-1779

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
3964 ELNORA DR
MACON, GA 31210
Dietitian, Registered
3964 ELNORA DR
MACON, GA 31210
Clinic/Center (Medical Specialty)
3964 ELNORA DR
MACON, GA 31210

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 Middle Georgia Allergy Asthma And Immunology Center LLC's NPI number?

The NPI number for Middle Georgia Allergy Asthma And Immunology Center LLC is 1487365524. It was assigned to this organization in the NPPES registry on December 9, 2022.

Where is Middle Georgia Allergy Asthma And Immunology Center LLC located?

Middle Georgia Allergy Asthma And Immunology Center LLC is located at 3964 Elnora Dr, Macon, GA 31210. The listed phone number is (478) 477-1777.

What is Middle Georgia Allergy Asthma And Immunology Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Middle Georgia Allergy Asthma And Immunology Center LLC was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.