OrganizationActive
Scottish Rite Children'S Medical Center
NPI 1184779332 · Pediatric Hematology & Oncology Physician · Atlanta, GA
Provider details
- NPI number
- 1184779332
- Entity type
- Organization
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruth Fowler, Chief Financial Officer(404) 785-5437
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
- Dentist122300000X
Dental Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Pediatric Dentistry1223P0221X
Practice location
1001 Johnson Ferry Rd Ne
Atlanta, GA 30342-1605
Phone: (404) 785-5252
Approximate (ZIP-level) locationGet directions
Mailing address
1575 Northeast Expy Ne
Brookhaven, GA 30329-2401
Other names (DBA / former)
- Doing business as
- Children'S Healthcare of Atlanta at Scottish Rite
- Doing business as
- Children'S Healthcare of Atlanta at Scottish Rite
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.