SCOTTISH RITE CHILDRENS MEDICAL CTR (NPI# 1922178789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922178789 |
| Entity Type | Organization |
| Organization Name | SCOTTISH RITE CHILDRENS MEDICAL CTR |
| Other Organization Name | CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE |
| Practice Address |
1001 Johnson Ferry Rd Ne Atlanta GA 30342-1605 |
| Mailing Address |
1575 Northeast Expy Ne Brookhaven GA 30329-2401 |
| Practice Telephone | 4047855252 |
| Mailing Telephone | 4047857876 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | MR. HAYDEN MATHIESON (VICE PRESIDENT, MANAGED CARE) |
| Authorized Official Telephone | 4047857914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
060-303 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000001636A | 05 | |
| GA | PEACH STATE PROVIDER ID | 000001636A | 01 |
| GA | AMERIGROUP PROVIDER ID | 1000062 | 01 |
| GA | WELLCARE PROVIDER ID | 21316 | 01 |
| Other Name | Type Code |
|---|---|
| Children's Healthcare of Atlanta at Scottish Rite | Doing Business As Name - Organization |
| Street Address |
1001 JOHNSON FERRY RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287331 | Natavut Punyasavatsut | Pediatrics | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2005-09-30 |
| 1982161196 | Allie Jones Chappell | Registered Nurse | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2019-02-24 |
| 1255759494 | Sean Spencer Evans | Otolaryngology | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30322-1900 | 2014-04-04 |
| 1174864433 | Sarah Sharpless | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2013-03-12 |
| 1114267903 | Kristen Charbonnet Cranmer | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2013-02-15 |
| 1861743858 | Natalie Dinsmore | Anesthesiologist Assistant | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-10-01 |
| 1346598539 | Melinda Mayton | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-08-21 |
| 1548518699 | Bonnie Burke | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-08-21 |
| 1356697387 | Mary Alisha Gates | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-07-27 |
| 1659632461 | Heather Hammond Post | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2012-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683335 | Kim Emiko Ono | General Acute Care Hospital | 5455 Meridian Marks Rd, Suite 180, Atlanta, GA 30342-1654 | 2016-08-08 |
| 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 |
| 1417113077 | Children's Healthcare of Atlanta | General Acute Care Hospital | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2008-08-04 |
| 1790950038 | Morehouse School of Medicine | General Acute Care Hospital | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2008-04-28 |
| 1669659801 | Emory University School of Medicine | General Acute Care Hospital | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-01-30 |
| 1417134743 | Emory University Department of Pediatrics | General Acute Care Hospital | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2008-01-29 |
| 1619014156 | Children's Healthcare of Atlanta At Hughes Spalding | General Acute Care Hospital | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2007-02-01 |
| 1689744450 | Egleston Children's Hospital At Emory University, Inc. | General Acute Care Hospital | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2006-11-09 |
| 1629166012 | Thuy Thi Thu Bui | General Acute Care Hospital | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2006-10-11 |
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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.