P Praxis·MD
● Active Type 2 · Organization

Middle Georgia Allergy Asthma And Immunology Center Llc

Allergy & Immunology·MacOn, GA· NPI 1487365524 · Enumerated 2022 · 3 years on NPI
Middle Georgia Allergy Asthma And Immunology Center Llc is 1 of 151 allergy & immunology organizations in Georgia.
NPI age
3 years
Enumerated 2022-12-09
Primary specialty
Allergy & Immunology
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Vangala
Practice Manager
Last NPPES update
2022-12-16
Source: monthly bulk 2026-05

How this organization compares

Across 151 active allergy & immunology providers in Georgia.

NPI age
3 years
↓ 16 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-12Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
3964 Elnora Dr
MacOn, GA 312101825
📞 4784771777fax 4784771779
Mailing address
3964 Elnora Dr
MacOn, GA 312101825
📞 4787317235fax 4784771779

Additional practice locations

1 secondary location on file with NPPES.

Location 2
402 Osigian Blvd Ste 600
Warner Robins, GA 310888994
📞 4784771777fax 4784771779

Authorized official

Venkat Divya Vangala, BS PSYCHOLOGY
Practice Manager
📞 4787317235

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Allergy & Immunology Primary
    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...
    taxonomy 207K00000X
  • Clinic/Center
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    taxonomy 261Q00000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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