Med-Surg Providers at Children's LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MED-SURG PROVIDERS AT CHILDREN'S LLC

Practice address

1575 Northeast Expy NE
Brookhaven, GA 30329-2401

Phone

(404) 785-7876

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Louetta Cody

Title

MGR, Provider Enrollment

Phone

(404) 785-7876

Specialties & licenses 6

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley Ann Caltharp, M.D., PH.D

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlanta, GA
  • NPI 1376786392
  NPD (past)
• Ann Haight, MD

  • Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1871665265
  NPD (past)
• Kathleen Trad Hoff, PA

  • Physician Assistant
  • Atlanta, GA
  • NPI 1801971106

  Pediatric Surgery

  NPD (past)
• Karen Wasilewski, MD

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1487604443
  NPD (past)
• Hong Yin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlanta, GA
  • NPI 1336106269
  NPD (past)

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1770949497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 NE EXPRESSWAY",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292401",
            "telephone_number": "404-785-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 NORTHEAST EXPY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292401",
            "telephone_number": "404-785-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SURG PROVIDERS AT CHILDREN'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CODY",
        "authorized_official_first_name": "LOUETTA",
        "authorized_official_title_or_position": "MGR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "404-785-7876"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolita Christina McLeggon, FNP-C
• McNumb Dental PC
• Keyonda McQueen, PT, DPT
• Lea Chanel McQueen, M.S
• Melissa Mae Mecher, APRN, PNP-PC
• Mend Primary Care LLC
• Ermitha Mercier, RBT
• Merritt Eye Care and Associates (Merritt Eye Care)
• Socrotiff Carruth Michael, LMFT
• Middle Path Therapy, LLC

• Pediatrics Physician in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.