NICHOLAS A ETTINGER MD PHD NPI 1649413824

NPI Information

  • NPI: 1649413824
  • Provider Name: NICHOLAS A ETTINGER, MD, PHD
  • Classification: Pediatrics - 2080P0203X
  • Specialization: Pediatric Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2220 N DRUID HILLS RD NE
    ATLANTA, GA
    ZIP 30329
  • Phone: (404) 785-7585

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NPI Details

Nicholas A Ettinger, MD, PHD is a pediatric critical care medicine pediatrics in Atlanta, GA with 17 years of experience. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Nicholas A Ettinger, MD, PHD NPI is 1649413824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2220 N DRUID HILLS RD NE
ATLANTA, GA
ZIP 30329-117
Phone: (404) 785-7585

The NPI 1649413824 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 2/26/2025.

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
12080P0203XPediatricsPediatric Critical Care Medicine0000048757TENNESSEENo
22080P0203XPediatricsPediatric Critical Care MedicineQ6186TEXASNo
32080P0203XPediatricsPediatric Critical Care Medicine95129GEORGIAYes

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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