Active NPI
Atlanta Children'S General Anesthesia Dentistry PC
- Anesthesiology Physician
- Marrow, GA
National Provider Identifier
1508795683
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ATLANTA CHILDREN'S GENERAL ANESTHESIA DENTISTRY PC
- Practice address
- 4000 Corporate Center Drive
Marrow, GA 30260 - Phone
- (301) 494-3000
- NPI assigned
- May 15, 2026
- Organization subpart
- No
National Provider Directory
National Provider Directory- Tax ID family
- Atlanta Children'S General Anesthesia Dentistry PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- West Jordan, UT
- NPI 1902735061
Locations
4000 Corporate Center Dr
Morrow, GA 30260
Phone (678) 357-1828
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Wheeler
- Title
- Ceo
- Phone
- (301) 494-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
4000 Corporate Center Drive
Marrow, GA 30260
Mailing address
8977 S 1300 W Ste 475
West Jordan, UT 84088-9274
Phone (301) 494-3000
NPI Registry JSON
{
"created_epoch": "1778803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1508795683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8977 S 1300 W STE 475",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889274",
"telephone_number": "301-494-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CORPORATE CENTER DRIVE",
"city": "MARROW",
"state": "GA",
"postal_code": "30260",
"telephone_number": "301-494-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA CHILDREN'S GENERAL ANESTHESIA DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-15",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-494-3000"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.