CHILDREN'S HEALTHCARE OF ATLANTA (NPI# 1306197702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306197702 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HEALTHCARE OF ATLANTA |
| Other Organization Name | CHOA ORTHOTICS AND PROSTHETICS |
| Practice Address |
2270 Duluth Hwy Duluth GA 30097-4010 |
| Mailing Address |
1584 Tullie Cir Ne Atlanta GA 30329-2311 |
| Practice Telephone | 4047852540 |
| Practice Fax Number | 4047852541 |
| Mailing Telephone | 4047857928 |
| Mailing Fax Number | 4047857932 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | MR. HAYDEN MATHIESON (VICE PRESIDENT, MANAGED CARE) |
| Authorized Official Telephone | 4047857914 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HEALTHCARE OF ATLANTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| CHOA Orthotics and Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073760351 | Children's Healthcare of Atlanta | General Acute Care Hospital | 8325 Hewlett Rd, Sandy Springs, GA 30350-3506 | 2008-08-19 |
| 1205291994 | Children's Healthcare of Atlanta | General Acute Care Hospital | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2015-12-22 |
| 1932446846 | Children's Healthcare of Atlanta | General Acute Care Hospital | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2013-01-11 |
| 1467771923 | Children's Healthcare of Atlanta | Rehabilitation Unit | 5455 Meridian Marks Rd Ne Ste 300, Atlanta, GA 30342-4722 | 2010-05-24 |
| 1417113077 | Children's Healthcare of Atlanta | General Acute Care Hospital | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2008-08-04 |
| 1740337153 | Children's Healthcare of Atlanta | General Acute Care Hospital | 3795 Mansell Rd, Alpharetta, GA 30022-8247 | 2007-01-05 |
| 1326119405 | Children's Healthcare of Atlanta | Personal Emergency Response Attendant | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2006-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Children's Healthcare of Atlanta Foundation, Inc. | 1575 Northeast Expressway, 6th Floor, Atlanta, GA 30329 |
| Street Address |
2270 DULUTH HWY |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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 |
|---|---|---|---|---|
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
| 1518988310 | Smdc Medical Center | Rehabilitation Unit | 502 E 2nd St, Duluth, MN 55805-1913 | 2006-07-21 |
| 1902845068 | St. Luke's Hospital of Duluth | Rehabilitation Unit | 915 E 1st St, Duluth, MN 55805-2107 | 2006-06-05 |
| 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 |
| 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 |
| 1437103496 | Hca Health Services of Georgia, Inc. | Rehabilitation Unit | 102 Frist Ct, Columbus, GA 31909-3578 | 2006-05-22 |
| 1609389642 | Savannah Health Services, L.L.C. | Rehabilitation Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| Find all providers with the same taxonomy | ||||
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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.