ALLERGY & IMMUNOLOGY CENTER PC – Allergy & Immunology Physician, NPI 1770863276

ALLERGY & IMMUNOLOGY CENTER PC is a healthcare provider. based in Albany, Georgia. specializing in Allergy & Immunology Physician. The organization holds a License No. 045992 (GA). The NPI Number for ALLERGY & IMMUNOLOGY CENTER PC is 1770863276

Main info

Organization
Name
ALLERGY & IMMUNOLOGY CENTER PC
NPI
1770863276
Phone
(229) 446-7227
Address
1911 PALMYRA RD
Authorized Official
JOSE THECKEDATH PRESIDENT/CEO MD
Enumeration Date
29 August 2011
Last Update Date
20 March 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for ALLERGY & IMMUNOLOGY CENTER PC

  • 1911 PALMYRA RD

    ALBANY, GA 317011574

    Phone: (229) 446-7227

    Fax: (229) 420-4365

    Mailing address matches the actual address.

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: 2011-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (804 days ago).

Enrollment records

1

Earliest due date

2024-03-31

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
O20110830000393OClinic/Group PracticeGA2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 31701)

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Reviews

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Frequently asked questions

Can I use this page to confirm ALLERGY & IMMUNOLOGY CENTER PC's NPI?
Yes. ALLERGY & IMMUNOLOGY CENTER PC is listed with NPI 1770863276 in the public NPI dataset.
Is ALLERGY & IMMUNOLOGY CENTER PC still practicing?
ALLERGY & IMMUNOLOGY CENTER PC is currently listed as active in the public NPI registry.
What taxonomy line describes ALLERGY & IMMUNOLOGY CENTER PC?
For research purposes, treat ALLERGY & IMMUNOLOGY CENTER PC as Allergy & Immunology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ALLERGY & IMMUNOLOGY CENTER PC?
ALLERGY & IMMUNOLOGY CENTER PC's geographic hint is Albany, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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