SCOTTISH RITE CHILDRENS MEDICAL CTR NPI 1922178789

NPI Information

NPI: 1922178789
Provider Name: SCOTTISH RITE CHILDRENS MEDICAL CTR
Classification: General Acute Care Hospital - 282NC2000X
Specialization: Children
Entity Type: Organization
Doing Business As: CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE
CLIA Number: 11D2327533
Address: 1001 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342
Phone: (404) 785-5252

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NPI Details

SCOTTISH RITE CHILDRENS MEDICAL CTR is a children general acute care hospital in Atlanta, GA. SCOTTISH RITE CHILDRENS MEDICAL CTR NPI is 1922178789. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Healthcare Of Atlanta At Scottish Rite.

The provider's business location address is:

1001 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342-605
Phone: (404) 785-5252

The provider's authorized official is Louetta Cody .
The authorized official title is Mgr, Provider Enrollment and has the following contact phone number (404) 785-7876.

The CLIA number assigned to this NPI record is 11D2327533 - other - outpatient clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 2/23/2023.

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
1	282NC2000X	General Acute Care Hospital	Children	060-303	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000001636A	OTHER	GEORGIA	PEACH STATE PROVIDER ID
2	000001636A	MEDICAID	GEORGIA
3	1000062	OTHER	GEORGIA	AMERIGROUP PROVIDER ID
4	21316	OTHER	GEORGIA	WELLCARE PROVIDER ID

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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