Live Oak Allergy, Asthma & Immunology, LLC
NPI 1689066649 · Medical Specialty Clinic/Center · Pooler, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Live Oak Allergy, Asthma & Immunology, LLC is a Medical Specialty Clinic/Center organization in Pooler, GA (NPI 1689066649).
Provider details
- NPI number
- 1689066649
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mitchell Henson, Practice Manager(615) 477-4321
- License
- 073306 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-02-28
- Last updated
- 2015-02-28
Frequently asked questions
- What is Live Oak Allergy, Asthma & Immunology, LLC's NPI number?
- Live Oak Allergy, Asthma & Immunology, LLC's National Provider Identifier (NPI) is 1689066649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Live Oak Allergy, Asthma & Immunology, LLC?
- Live Oak Allergy, Asthma & Immunology, LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Live Oak Allergy, Asthma & Immunology, LLC located?
- Live Oak Allergy, Asthma & Immunology, LLC's practice location on file with NPPES is 143 Canal St, Pooler, GA 31322-6007.
- What is Live Oak Allergy, Asthma & Immunology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Live Oak Allergy, Asthma & Immunology, LLC is (615) 477-2226.
- Does Live Oak Allergy, Asthma & Immunology, LLC accept Medicare?
- Live Oak Allergy, Asthma & Immunology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Live Oak Allergy, Asthma & Immunology, LLC?
- The authorized official listed on Live Oak Allergy, Asthma & Immunology, LLC's NPPES record is Mitchell Henson, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Live Oak Allergy, Asthma & Immunology, LLC's NPI active?
- Yes — Live Oak Allergy, Asthma & Immunology, LLC's NPI (1689066649) is active in the NPPES registry as of the last update on 2015-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.