CHOA HOSPITAL BASED LLC NPI 1457695488

NPI Information

  • NPI: 1457695488
  • Provider Name: CHOA HOSPITAL BASED, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 1575 NORTHEAST EXPY NE
    BROOKHAVEN, GA
    ZIP 30329
  • Phone: (404) 785-6000

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NPI Details

CHOA HOSPITAL BASED, LLC is a pediatrics in Brookhaven, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHOA HOSPITAL BASED, LLC NPI is 1457695488. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1575 NORTHEAST EXPY NE
BROOKHAVEN, GA
ZIP 30329-401
Phone: (404) 785-6000

The provider's authorized official is Ruth Fowler .
The authorized official title is Chief Financial Officer and has the following contact phone number (404) 785-5437.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 10/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085P0229XRadiologyPediatric RadiologyNo
22080N0001XPediatricsNeonatal-Perinatal MedicineNo
3363LP0200XNurse PractitionerPediatricsNo
4207ZP0213XPathologyPediatric PathologyNo
5207LP3000XAnesthesiologyPediatric AnesthesiologyNo
6367H00000XAnesthesiologist AssistantNo
7363LN0000XNurse PractitionerNeonatalNo
8208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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