AUGUSTA ALLERGY AND ASTHMA, LLC – Allergy & Immunology Physician, NPI 1003187071

AUGUSTA ALLERGY AND ASTHMA, LLC is a healthcare provider. based in Evans, Georgia. specializing in Allergy & Immunology Physician. The organization holds a License No. 045041 (GA). The NPI Number for AUGUSTA ALLERGY AND ASTHMA, LLC is 1003187071

Main info

Organization
Name
AUGUSTA ALLERGY AND ASTHMA, LLC
NPI
1003187071
Phone
(706) 421-1700
Address
4350 TOWNE CENTRE DR STE 1500
Authorized Official
TRACIE BROOME OFFICE COORDINATOR
Enumeration Date
23 January 2012
Last Update Date
5 March 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for AUGUSTA ALLERGY AND ASTHMA, LLC

  • 4350 TOWNE CENTRE DR STE 1500

    EVANS, GA 308093332

    Phone: (706) 421-1700

    Fax: (706) 396-0618

    Type: Mailing

  • 4305 TOWNE CENTER DR

    STE 1500

    EVANS, GA 30809

    Phone: (706) 863-1440

    Fax: (706) 863-5418

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120319000280OClinic/Group PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30809)

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Reviews

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Frequently asked questions

Can I cross-check AUGUSTA ALLERGY AND ASTHMA, LLC using NPI 1003187071?
NPI 1003187071 belongs to AUGUSTA ALLERGY AND ASTHMA, LLC; compare other details if you need extra assurance.
Is AUGUSTA ALLERGY AND ASTHMA, LLC still an active registrant?
AUGUSTA ALLERGY AND ASTHMA, LLC carries an active NPI according to the public dataset.
What area of care is associated with AUGUSTA ALLERGY AND ASTHMA, LLC?
AUGUSTA ALLERGY AND ASTHMA, LLC's record emphasizes Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Is AUGUSTA ALLERGY AND ASTHMA, LLC located near Evans?
AUGUSTA ALLERGY AND ASTHMA, LLC currently maps to Evans, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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