Surgery, Pediatric Surgery
THE EMORY CLINIC PEDIATRIC PROVIDERS
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 Plan acceptance stays unpublished until the practice reports it.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 1720285653 · enumerated 2007-07-03 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DOROTHY COOK WALTER RN, MN, JD, DIRECTOR SYSTEM CREDENTIALING · (404) 778-2144
Addresses and phones
- Mailing address 1365 CLIFTON RD NE, ATLANTA, GA, 30322-1013 (404) 778-2144 Fax (404) 778-4819 Google Maps Apple Maps OpenStreetMap
- Practice location 101 W PONCE DE LEON AVE, STE 300, DECATUR, GA, 30030-2528 (404) 778-2144 Fax (404) 778-7466 Google Maps Apple Maps OpenStreetMap
Specialties
- Anesthesiology, Pediatric Anesthesiology 207LP3000X
- Dermatology, Pediatric Dermatology 207NP0225X
- Orthopaedic Surgery, Pediatric Orthopaedic Surgery 207XP3100X
- Otolaryngology, Pediatric Otolaryngology 207YP0228X
- Pathology, Pediatric Pathology 207ZP0213X
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X
- Radiology, Pediatric Radiology 2085P0229X
- Surgery, Pediatric Surgery 2086S0120X · Primary
In this directory
Locations and evidence
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Practice location
DECATUR, GA, 300302528
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.