OrganizationActive
South Georgia Allergy Clinic PC
NPI 1285810366 · Allergy & Immunology Physician · Brunswick, GA
Provider details
- NPI number
- 1285810366
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Dirting, Billing Mgr(912) 262-9289
- License
- GA023506 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2601 Parkwood Dr
Suite B
Brunswick, GA 31520-4758
Phone: (912) 262-9288
Fax: (912) 262-9994
Street-level locationGet directions
Mailing address
Po Box 1813
Brunswick, GA 31521-1813
Registry dates
- Enumerated
- 2008-01-18
- Last updated
- 2021-11-29
- Certified
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.