Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Middle Georgia Allergy Asthma and Immunology Center LLC

Organization Allergy & Immunology Physician · NPI 1487365524

Middle Georgia Allergy Asthma and Immunology Center LLC is an Allergy & Immunology Physician in Macon, Georgia. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3964 Elnora Dr
Macon, GA 31210-1825
Phone: (478) 477-1777
Fax: (478) 477-1779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 402 Osigian Blvd Ste 600, Warner Robins, GA 31088-8994 — (478) 477-1777

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1487365524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkat Vangala — Practice Manager · (478) 731-7235
NPI enumeratedDecember 9, 2022
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022
Mailing address3964 Elnora Dr, Macon, GA 31210-1825

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