William Garrett Loventhal IV, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

048536 Issued in GA

Practice address

Children'S Wellness Center 755 Mt. Vernon Hwy., NE
Ste. 150
Atlanta, GA 30328

Phone

(404) 303-1314

Fax

(404) 303-1399

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gary Loventhal Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Wellness Center

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1306995832
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1164461901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHILDREN'S WELLNESS CENTER 755 MT. VERNON HWY., NE",
            "address_2": "STE. 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-303-1314",
            "fax_number": "404-303-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDREN'S WELLNESS CENTER 755 MT. VERNON HWY., NE",
            "address_2": "STE. 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-303-1314",
            "fax_number": "404-303-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVENTHAL",
        "first_name": "WILLIAM",
        "middle_name": "GARRETT",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "048536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00879183A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "LOVENTHAL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grayson Myers Loveless, NP
• Loveliveplay LLC
• Ashea Adrianne Lovell, MD
• James A. Lovell, M.ED.,ATC, LAT, EMT
• Julie Teresa Lovelly, PA-C
• Stacy Elise Loverde, CCC-SLP
• Lyndsey Lovern, DNP-AGACNP
• Ayotunda Lovett
• Liara Marie Lovett, M.S., BCBA
• Lakeyra Lynn Lovette

• Pediatrics Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.