OrganizationActive
Allergy & Immunology Center PC
NPI 1770863276 · Allergy & Immunology Physician · Albany, GA
Provider details
- NPI number
- 1770863276
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jose Theckedath, President/Ceo(229) 446-7227
- License
- 045992 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1911 Palmyra Rd
Albany, GA 31701-1574
Phone: (229) 446-7227
Fax: (229) 420-4365
Street-level locationGet directions
Mailing address
1911 Palmyra Rd
Albany, GA 31701-1574
Registry dates
- Enumerated
- 2011-08-29
- Last updated
- 2013-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.