Active NPI
Elizabeth Wechter, MD
- Pediatrics Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 88314
- Practice address
- 1046 Ridge Ave SW
Atlanta, GA 30315-1640 - Phone
- (404) 688-1350
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | A140509 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 88314 | GA | Primary |
Addresses
Primary practice location
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Mailing address
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Phone (708) 828-1061
Other practice location 1
3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222
Other practice location 2
747 52nd St Rm 245
Oakland, CA 94609-1809
Phone (510) 428-3000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A140509 | CA | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Pediatrics | Current | Accepting new patients |
| Southside Medical Center, Inc. | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Southside Medical Center, Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Health Education, Assessment and Leadership, Inc | Current | Accepting new patients | |
| Health Education Assessment and Leadership, Inc | Past | Accepting new patients |
Locations
4215 Bakers Ferry Rd SW
Atlanta, GA 30331
Phone (404) 564-7729
3915 Cascade Rd SW
Ste T-90
Atlanta, GA 30331
Phone (404) 989-9891
1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
Interoperability endpoints
- ewechter134168@ehr.johnmuirhealth.com
- ewechter338400@hisp.ehr.sutterhealth.org
- https://fhir4.healow.com/fhir/r4/DJFHBD
- ewechter123805@direct-ucsfmedicalcenter.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1831476399
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1235123993
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1730345240
-
- Federally Qualified Health Center (FQHC)
- Jonesboro, GA
- NPI 1821981234
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1700328309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1720407356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 RIDGE AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303151640",
"telephone_number": "708-828-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 RIDGE AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303151640",
"telephone_number": "404-688-1350"
}
],
"practiceLocations": [
{
"address_1": "3200 Kearney St",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945382299",
"country_code": "US",
"telephone_number": "510-490-1222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "747 52nd St Rm 245",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946091809",
"country_code": "US",
"telephone_number": "510-428-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WECHTER",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "CA",
"license": "A140509",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "88314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.