NPIMap

Organization Active NPI

Scottish Rite Children's Medical Center

Doing business as Children's Healthcare of Atlanta at Scottish Rite

  • Rehabilitation Hospital Unit
  • Cumming, GA
National Provider Identifier
1285932814
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
SCOTTISH RITE CHILDREN'S MEDICAL CENTER
Doing business as
Children's Healthcare of Atlanta at Scottish Rite
Practice address
410 Peachtree Pkwy
Suite 300
Cumming, GA 30041-7066
Phone
(404) 785-3229
Fax
(404) 785-5690
NPI assigned
Mar 7, 2011
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HEALTHCARE OF ATLANTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Louetta Cody
Title
Manager, Provider Enrollment
Phone
(404) 785-7876

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

410 Peachtree Pkwy
Suite 300
Cumming, GA 30041-7066

Mailing address

1575 NE Expressway
Atlanta, GA 30329-2311
Phone (404) 785-7928

Other names 1

  • Children's Healthcare of Atlanta at Scottish Rite Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scottish Rite Children's Medical Center11 organizations share this tax ID, including this one
Part of
Scottish Rite Children's Medical Center

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1584 Tullie Cir NE
Atlanta, GA 30329
Phone (404) 785-5413

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1285932814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 NE EXPRESSWAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292311",
            "telephone_number": "404-785-7928",
            "fax_number": "404-785-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY",
            "address_2": "SUITE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417066",
            "telephone_number": "404-785-3229",
            "fax_number": "404-785-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTISH RITE CHILDREN'S MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HEALTHCARE OF ATLANTA",
        "enumeration_date": "2011-03-07",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CODY",
        "authorized_official_first_name": "LOUETTA",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "404-785-7876"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Healthcare of Atlanta at Scottish Rite",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Healthcare of Atlanta at Scottish Rite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.