Childrens Healthcare of Atlanta

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

RN158875 Issued in GA

Legal business name

CHILDRENS HEALTHCARE OF ATLANTA

Practice address

494 Rising Sun Path
Lawrenceville, GA 30043-3169

Phone

(770) 338-7476

Fax

(770) 338-7476

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dawn Taylor, RN

Title

Assistant Manager

Phone

(404) 785-1882

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1396900247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 RISING SUN PATH",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433169",
            "telephone_number": "770-338-7476",
            "fax_number": "770-338-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 RISING SUN PATH",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433169",
            "telephone_number": "770-338-7476",
            "fax_number": "770-338-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HEALTHCARE OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "404-785-1882",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "GA",
            "license": "RN158875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "XKH511A63954-01",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huy Chiem, DPT
• Adamou Moumbagna Chigni, FNP
• Children's Dentistry of Lithonia, LLC (Children's Dentistry of Lawrenceville)
• Children's Medicine, P.C.
• Children's Therapy Group, Inc.
• Sharon Childress, LPN
• Hiram P. Childs, PA-C
• Esther Eunhee Chin, FNP-C
• Andreea Vanita Chira
• Rachael Chisholm, LMFT

• Pediatric Skilled Nursing Facility in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pediatric Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.