Pediatrics
CHOA HOSPITAL BASED, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1457695488 · enumerated 2012-11-15 · record updated 2025-10-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RUTH FOWLER, Chief Financial Officer · (404) 785-5437
Addresses and phones
- Mailing address 1575 NORTHEAST EXPY NE, BROOKHAVEN, GA, 30329-2401 (404) 785-7876 Google Maps Apple Maps OpenStreetMap
- Practice location 1575 NORTHEAST EXPY NE, BROOKHAVEN, GA, 30329-2401 (404) 785-6000 Google Maps Apple Maps OpenStreetMap
Specialties
- Radiology, Pediatric Radiology 2085P0229X
- Pediatrics, Neonatal-Perinatal Medicine 2080N0001X
- Nurse Practitioner, Pediatrics 363LP0200X
- Pathology, Pediatric Pathology 207ZP0213X
- Anesthesiology, Pediatric Anesthesiology 207LP3000X
- Anesthesiologist Assistant 367H00000X
- Nurse Practitioner, Neonatal 363LN0000X
- Pediatrics 208000000X · Primary
In this directory
Locations and evidence
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Practice location
BROOKHAVEN, GA, 303292401
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.