SCOTTISH RITE CHILDREN'S MEDICAL CENTER (NPI# 1285932814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285932814 |
| Entity Type | Organization |
| Organization Name | SCOTTISH RITE CHILDREN'S MEDICAL CENTER |
| Other Organization Name | CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE |
| Practice Address |
410 Peachtree Pkwy Suite 300 Cumming GA 30041-7066 |
| Mailing Address |
1584 Tullie Cir Ne Atlanta GA 30329-2311 |
| Practice Telephone | 4047853229 |
| Practice Fax Number | 4047855690 |
| Mailing Telephone | 4047857928 |
| Mailing Fax Number | 4047857932 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | HAYDEN MATHIESON (VICE PRESIDENT, MANAGED CARE) |
| Authorized Official Telephone | 4047850589 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HEALTHCARE OF ATLANTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Children's Healthcare of Atlanta at Scottish Rite | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619290277 | Scottish Rite Children's Medical Center | Prosthetic/Orthotic Supplier | 175 White St Nw, Suite 350, Marietta, GA 30060-1053 | 2010-03-10 |
| 1972732212 | Scottish Rite Children's Medical Center | Prosthetic/Orthotic Supplier | 3300 Old Milton Pkwy, Alpharetta, GA 30005-2423 | 2009-07-08 |
| 1184779332 | Scottish Rite Children's Medical Center | Clinical Neuropsychologist | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2007-01-25 |
| Street Address |
410 PEACHTREE PKWY SUITE 300 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235105032 | Diane Green King | Specialist/Technologist | 410 Peachtree Pkwy, Suite 300, Cumming, GA 30041-7066 | 2006-02-23 |
| 1780125294 | Physician Management Services of Eastern Georgia, LLC | Family Medicine | 410 Peachtree Pkwy, Suite 4260, Cumming, GA 30041-7066 | 2017-03-16 |
| 1437516770 | Live Life Counseling, LLC | Counselor | 410 Peachtree Pkwy, Suite 4245, Cumming, GA 30041-7066 | 2016-01-18 |
| 1366807489 | Pathways To Change, LLC | Exclusive Provider Organization | 410 Peachtree Pkwy, Building 400, Suite 4245, Cumming, GA 30041-7066 | 2015-12-16 |
| 1033549027 | Inner Journeys Counseling Services LLC | Counselor | 410 Peachtree Pkwy, Bldg 400, Suite 4245, Cumming, GA 30041-7066 | 2013-11-12 |
| 1437584810 | Pam Mcghee Gibbs | Counselor | 410 Peachtree Pkwy, Bldg 400, Suite 4245, Cumming, GA 30041-7066 | 2013-09-04 |
| 1235498726 | Kristin Kay Leblanc | Counselor | 410 Peachtree Pkwy, Suite 4245, Cumming, GA 30041-7066 | 2012-05-03 |
| 1932475779 | Brian Lee Long | Counselor | 410 Peachtree Pkwy, 4245, Cumming, GA 30041-7066 | 2012-03-27 |
| 1285810325 | Michael James Crosby | Dentist | 410 Peachtree Pkwy, Cumming, GA 30041-7066 | 2008-01-19 |
| 1972706893 | Sleep Health Diagnostics, LLC. | Clinic/Center | 410 Peachtree Pkwy, Suite 4232, Cumming, GA 30041-7066 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538631437 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 1400 Tullie Rd Ne Ste 601, Atlanta, GA 30329-2309 | 2018-12-18 |
| 1316456825 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 605 Big Shanty Road, Nw, Ste 100, Kennesaw, GA 30144-3646 | 2017-09-27 |
| 1386177798 | Southeast Georgia Health Services, L.L.C. | Rehabilitation Unit | 2500 Satilla Pkwy, Waycross, GA 31503-8852 | 2017-04-04 |
| 1578996245 | Complete Healthcare Management LLC | Rehabilitation Unit | 1060 Deer Chase, Stone Mountain, GA 30088-2404 | 2013-08-16 |
| 1306197702 | Children's Healthcare of Atlanta | Rehabilitation Unit | 2270 Duluth Hwy, Duluth, GA 30097-4010 | 2012-09-25 |
| 1497035489 | Body Mechanics Rehabilitation Services, LLC | Rehabilitation Unit | 524 New River Way, Mcdonough, GA 30252-4153 | 2011-08-22 |
| 1598990376 | Phoebe Sumter Medical Center, Inc. | Rehabilitation Unit | 126 Hwy 280 W, Americus, GA 31719-8645 | 2009-05-21 |
| 1124295274 | Va Medical Center-downtown Division/augusta | Rehabilitation Unit | 3336 Thames Pl, Hephzibah, GA 30815-7176 | 2008-05-08 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.