Carolina Allergy & Asthma Consultants (CAAC)
Carolina Allergy & Asthma Consultants (CAAC) is a multi-physician allergy and immunology practice with three locations in Columbia, South Carolina, serving the Richland, Lexington, Fairfield, Kershaw, and Newberry county areas. The practice is led by physicians J. Gregory Black, MD, and Michael J. Bykowsky, MD, PhD, along with Monica Lewis Culler, FNP.
Dr. Black and Dr. Bykowsky are board-certified, fellowship-trained allergy and immunology physicians (MD, Conventional). Dr. Black completed his fellowship in Allergy and Clinical Immunology at Tulane University after earning his MD from the Medical University of South Carolina. Dr. Bykowsky earned a PhD in Immunology from Brandeis University, completed a fellowship in Cellular Immunology at Memorial Sloan-Kettering Cancer Center, trained in Allergy and Immunology at The Children’s Hospital of Philadelphia, and earned his MD from Rutgers New Jersey Medical School. Monica Lewis Culler is a Family Nurse Practitioner with a master’s degree from South University.
The practice treats a broad range of allergic and immunologic conditions, including food, drug, animal, insect, latex, and mold allergies, allergic rhinitis (hay fever), asthma, immune system diseases, sinusitis, eosinophilic esophagitis, and allergic skin conditions such as hives and eczema. The website emphasizes identifying environmental allergy triggers such as pollen, dust mites, pet dander, and mold, and includes patient education and environmental control instructions as part of its treatment approach. The site does not describe a functional medicine or root-cause philosophy, CIRS/mold illness protocols, MCS, or clinical experience with environmentally acquired illness beyond standard allergy and immunology care, so its relevance to a non-toxic living directory centers on environmental allergen identification and management rather than broader environmental toxin or chemical sensitivity expertise.
Services include advanced skin testing, spirometry and FeNO breath testing for lung inflammation, standard and advanced blood testing, food and drug allergy challenges, allergen immunotherapy (allergy shots), oral immunotherapy where appropriate, and asthma management. The website does not mention telehealth, so services appear to be in-person only at the three Columbia locations. The practice states that it accepts most major insurance; the website does not mention HSA/FSA eligibility or a free discovery call or consultation.