SCOTTISH RITE CHILDRENS MEDICAL CTR; NPI #1922178789

Contact Information

SCOTTISH RITE CHILDRENS MEDICAL CTR

1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1605

Phone: 404-785-5252
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for SCOTTISH RITE CHILDRENS MEDICAL CTR

NPI # 1922178789

LBN Legal business name SCOTTISH RITE CHILDRENS MEDICAL CTR

Authorized official LOUETTA CODY - (MGR, PROVIDER ENROLLMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/09/2006

Last updated 02/23/2023 - About 3 years ago

Identifiers

GA	License #	060-303
GA	Medicaid	000001636A
GA	Other	1000062	AMERIGROUP PROVIDER ID
GA	Other	000001636A	PEACH STATE PROVIDER ID
GA	Other	21316	WELLCARE PROVIDER ID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SCOTTISH RITE CHILDRENS MEDICAL CTR

Contact Information

Specialty

Children

NPI Profile & details for SCOTTISH RITE CHILDRENS MEDICAL CTR

Reviews for SCOTTISH RITE CHILDRENS MEDICAL CTR