Individual provider Active NPI

Karen Wasilewski, MD

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1487604443
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
53203 Issued in GA
Practice address
5461 Meridian Mark Rd Ste 400
Atlanta, GA 30342-3283
Phone
(404) 785-1112
Fax
(404) 785-3600
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 53203 GA Primary

Addresses

Primary practice location

5461 Meridian Mark Rd Ste 400
Atlanta, GA 30342-3283

Mailing address

5461 Meridian Mark Rd Ste 400
Atlanta, GA 30342-3283
Phone (404) 785-1112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address choa@choa.gadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302002521 GA Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 9436462025 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53203GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottish Rite Children's Medical Center CurrentSince Jan 9, 2016 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Mar 1, 2019 Accepting new patients
Emory Medical Care Foundation Inc Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
Choa Hospital Based, LLC Pediatrics Past Accepting new patients
Med-Surg Providers at Children's LLC Pediatrics Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500

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

1405 Clifton Rd NE
Fl 4
Atlanta, GA 30322
Phone (404) 785-2311

5461 Meridian Mark Rd
Ste 400
Sandy Springs, GA 30342
Phone (404) 785-1112

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

5455 Meridian Mark Rd
Sandy Springs, GA 30342
Phone (404) 785-2849

Interoperability endpoints

  • Direct secure messaging: kwasilewski7905@choa.gadirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1487604443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARK RD STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423283",
            "telephone_number": "404-785-1112",
            "fax_number": "404-785-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARK RD STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423283",
            "telephone_number": "404-785-1112",
            "fax_number": "404-785-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILEWSKI",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "53203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "5461 Meridian Mark Rd Ste 400",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303423283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.