NPI age
11 years
Enumerated 2015-02-28
● Active Type 2 · Organization
Live Oak Allergy, Asthma & Immunology, Llc
Live Oak Allergy, Asthma & Immunology, Llc is 1 of 196 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Henson
Practice Manager
Last NPPES update
2015-02-28
Source: monthly bulk 2026-05
How this organization compares
Across 196 active clinic/center providers in Georgia.
NPI age
11 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
143 Canal St, Suite 200
Pooler, GA 313226007
Mailing address
143 Canal St, Suite 200
Pooler, GA 313226007
Authorized official
Mitchell Dewayne Henson
Practice Manager
📞 6154774321
Individual providers at this organization
2 individual providers on file at this primary practice address.
- John Gleason, M.D. Pediatrics NPI 1871534750
- Philip Millet, M.D. Pediatrics NPI 1851404214
Specialties
-
Clinic/Center PrimaryAn 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.