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LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC
NPI 1689066649
Clinic/Center - Medical Specialty in Pooler, GA

Active since February 28, 2015
143 CANAL ST, SUITE 200, POOLER, GA 31322(615) 477-2226 Get Directions Write a Review

NPPES record last updated: February 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Live Oak Allergy, Asthma & Immunology, Llc NPPES

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

LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC (NPI 1689066649) is a healthcare organization registered as a medical specialty in Pooler, Georgia and active in the NPI registry since February 2015. The organization lists Mitchell Dewayne Henson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1689066649
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC
Location Address143 CANAL ST, SUITE 200Pooler, GA 31322-6007
Mailing Address143 Canal St, Suite 200Pooler, GA 31322-6007
Phone(615) 477-2226
Organization SubpartNo
Authorized OfficialMitchell Dewayne HensonPractice Manager · (615) 477-4321
Enumeration DateFebruary 28, 2015
✔ NPI 1689066649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 073306
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
143 CANAL ST, Pooler, GA 31322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

KIDS FIRST PEDIATRICS OF GEORGIA, P.C.
Pediatrics
143 CANAL ST, SUITE 200
POOLER, GA 31322
Chatham County (912) 748-4527
POOLER PARKWAY INTERNAL MEDICINE, LLC
Internal Medicine
143 CANAL ST, SUITE 100
POOLER, GA 31322
Chatham County (912) 330-5149
DR. PHILIP DANIEL MILLET M.D.
Pediatrics
143 CANAL ST, SUITE 200
POOLER, GA 31322
Chatham County (912) 748-4527
DR. JOHN PAUL GLEASON M.D.
Pediatrics
143 CANAL ST, STE 500
POOLER, GA 31322
Chatham County (912) 748-4527

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 Live Oak Allergy, Asthma & Immunology, LLC's NPI number?

The NPI number for Live Oak Allergy, Asthma & Immunology, LLC is 1689066649. It was assigned to this organization in the NPPES registry on February 28, 2015.

Where is Live Oak Allergy, Asthma & Immunology, LLC located?

Live Oak Allergy, Asthma & Immunology, LLC is located at 143 Canal St Suite 200, Pooler, GA 31322. The listed phone number is (615) 477-2226.

What is Live Oak Allergy, Asthma & Immunology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does Live Oak Allergy, Asthma & Immunology, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Live Oak Allergy, Asthma & Immunology, LLC 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 Live Oak Allergy, Asthma & Immunology, LLC was last updated on February 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.