Individual provider Active NPI

Madeleine Goldstein, DO, MPH

  • Pediatric Infectious Diseases Physician
  • Atlanta, GA
National Provider Identifier
1992155485
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
82998 Issued in GA
Practice address
2015 Uppergate Drive NE RM 534
Atlanta, GA 30322
Phone
(404) 727-3796
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 82998 GA
Pediatric Infectious Diseases Physician 2080P0208X 82998 GA Primary

Addresses

Primary practice location

2015 Uppergate Drive NE RM 534
Atlanta, GA 30322

Mailing address

2015 Uppergate Drive NE Suite 534
Atlanta, GA 30322-0001
Phone (786) 271-1558

Other practice location 1

341 Ponce De Leon Ave NE
Atlanta, GA 30308-2012
Phone (786) 271-1558

Other identifiers 1

IdentifierTypeStateIssuer
82998OtherGAGEORGIA COMPOSITE MEDICAL BOARD

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
I20220707001221 GA Practitioner - Pediatric Medicine 4880074988 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82998GAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Jul 25, 2022 Accepting new patients
Egleston Pediatric Group Pediatrics Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 25, 2022 Accepting new patients
Choa Multispecialty, LLC Pediatrics CurrentSince Jun 4, 2024 Accepting new patients
Choa Hospital Based, LLC Pediatrics Current Accepting new patients

Locations

35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500

2015 Upper Gate Dr NE
Rm 534
Atlanta, GA 30322
Phone (404) 727-3796

341 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 616-2440

2015 Upper Gate Dr NE
Ste 534
Atlanta, GA 30322

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

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008

Organizations & group practices 5

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1992155485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 UPPERGATE DRIVE NE SUITE 534",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303220001",
            "telephone_number": "786-271-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 UPPERGATE DRIVE NE RM 534",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-727-3796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Ponce De Leon Ave NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082012",
            "country_code": "US",
            "telephone_number": "786-271-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MADELEINE",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-08-08",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "82998",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "GA",
            "license": "82998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE MEDICAL BOARD",
            "identifier": "82998",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.