Active NPI
Keiko Tarquinio, MD
- Pediatric Critical Care Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 72830
- Practice address
- 1405 Clifton Rd NE FL 4
Atlanta, GA 30322-1060 - Phone
- (404) 785-2311
- Fax
- (404) 785-6233
- NPI assigned
- Oct 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 72830 | GA | Primary |
| Pediatrics Physician | 208000000X | 72830 | GA |
Addresses
Primary practice location
1405 Clifton Rd NE FL 4
Atlanta, GA 30322-1060
Mailing address
1405 Clifton Rd NE FL 4
Atlanta, GA 30322-1060
Phone (404) 785-2311
Other practice location 1
710 Center St
Columbus, GA 31901-1527
Phone (706) 571-1311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72830 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Ambulatory Healthcare Services, Inc. | Pediatrics | Current | Accepting new patients |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| The Medical Center Inc | Past | Accepting new patients |
Locations
707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
Pediatrics
-
- Family Medicine Physician
- Phenix City, AL
- NPI 1699240531
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1730278201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 CLIFTON RD NE FL 4",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221060",
"telephone_number": "404-785-2311",
"fax_number": "404-785-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CLIFTON RD NE FL 4",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221060",
"telephone_number": "404-785-2311",
"fax_number": "404-785-6233"
}
],
"practiceLocations": [
{
"address_1": "710 Center St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319011527",
"country_code": "US",
"telephone_number": "706-571-1311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARQUINIO",
"first_name": "KEIKO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "GA",
"license": "72830",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "72830",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "1405 Clifton Rd NE Fl 4",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303221060",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.