Individual provider Active NPI

Christina Rochelle Escalante, MD

  • Pediatrics Physician
  • Palmetto, GA
National Provider Identifier
1881123891
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
89680 Issued in GA
Practice address
11090 Serenbe LN Ste 320
Palmetto, GA 30268-2474
Phone
(470) 450-4729
Fax
(470) 275-0895
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 89680 GA Primary

Addresses

Primary practice location

11090 Serenbe LN Ste 320
Palmetto, GA 30268-2474

Mailing address

11090 Serenbe LN Ste 320
Palmetto, GA 30268-2474
Phone (470) 450-4729

Other practice location 1

189 Jefferson Pkwy
Newnan, GA 30263-5823
Phone (770) 304-2220

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203001409 GA Practitioner - Pediatric Medicine 7416375308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acorn to Oak Health LLCGroup PAC ID 0345770467, 2 clinicians

Practice addresses (Care Compare)

11090 Serenbe Lane
Suite 320
Chattahoochee Hills, GA 30268-2474
Phone (470) 450-4927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89680GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn to Oak Health, LLC Pediatrics CurrentSince Nov 19, 2024 Accepting new patients
Piedmont Pediatric Physicians LLC Pediatrics CurrentSince Nov 1, 2021 Accepting new patients
Piedmont Medical Care Corporation CurrentSince Dec 8, 2021 Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

2959 Sharpsburg McCullum Rd
Newnan, GA 30265
Phone (770) 502-2000

189 Jefferson Pkwy
Newnan, GA 30263
Phone (706) 369-5440

11090 Serenbe Ln
Ste 320
Palmetto, GA 30268
Phone (470) 450-4729

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1881123891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11090 SERENBE LN STE 320",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682474",
            "telephone_number": "470-450-4729",
            "fax_number": "470-275-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11090 SERENBE LN STE 320",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682474",
            "telephone_number": "470-450-4729",
            "fax_number": "470-275-0895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Jefferson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302635823",
            "country_code": "US",
            "telephone_number": "770-304-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCALANTE",
        "first_name": "CHRISTINA",
        "middle_name": "ROCHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "89680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, GA

Sources for this page

Verify at the official NPI Registry.