NPIMap

Organization Active NPI

Scottish Rite Children'S Medical Center

  • Rehabilitation Hospital Unit
  • Marietta, GA
National Provider Identifier
1619290277
Registry record updated Mar 24, 2023
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
175 White St NW
Suite 350
Marietta, GA 30060-1053
Phone
(404) 785-8250
Fax
(404) 785-8251
NPI assigned
Mar 10, 2010
Organization subpart
Yes
Parent organization
CHILDREN'S HEALTHCARE OF ATLANTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

175 White St NW
Suite 350
Marietta, GA 30060-1053

Mailing address

1575 Northeast Expy NE
Brookhaven, GA 30329-2401
Phone (404) 785-7876

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 Childrens11 organizations share this tax ID, including this one
Part of
Scottish Rite Childrens

Other organizations with this tax ID 10

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

Locations

175 White St NW
Ste 350
Marietta, GA 30060
Phone (404) 785-8250

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1619290277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 NORTHEAST EXPY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292401",
            "telephone_number": "404-785-7876",
            "fax_number": "404-785-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WHITE ST NW",
            "address_2": "SUITE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601053",
            "telephone_number": "404-785-8250",
            "fax_number": "404-785-8251"
        }
    ],
    "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": "2010-03-10",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "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 Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.