Choa Hospital Based, LLC
NPI 1457695488 · Pediatrics Physician · Brookhaven, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Choa Hospital Based, LLC is a Pediatrics Physician organization in Brookhaven, GA (NPI 1457695488).
Provider details
- NPI number
- 1457695488
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ruth Fowler, Chief Financial Officer(404) 785-5437
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Radiology Physician2085P0229X
Allopathic & Osteopathic Physicians
- Neonatal-Perinatal Medicine Physician2080N0001X
Allopathic & Osteopathic Physicians
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatric Pathology Physician207ZP0213X
Allopathic & Osteopathic Physicians
- Pediatric Anesthesiology Physician207LP3000X
Allopathic & Osteopathic Physicians
- Anesthesiologist Assistant367H00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Frequently asked questions
- What is Choa Hospital Based, LLC's NPI number?
- Choa Hospital Based, LLC's National Provider Identifier (NPI) is 1457695488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Choa Hospital Based, LLC?
- Choa Hospital Based, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Choa Hospital Based, LLC located?
- Choa Hospital Based, LLC's practice location on file with NPPES is 1575 Northeast Expy Ne, Brookhaven, GA 30329-2401.
- What is Choa Hospital Based, LLC's phone number?
- The practice phone number listed in the NPPES registry for Choa Hospital Based, LLC is (404) 785-6000.
- Does Choa Hospital Based, LLC accept Medicare?
- Choa Hospital Based, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Choa Hospital Based, LLC?
- The authorized official listed on Choa Hospital Based, LLC's NPPES record is Ruth Fowler, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Choa Hospital Based, LLC's NPI active?
- Yes — Choa Hospital Based, LLC's NPI (1457695488) is active in the NPPES registry as of the last update on 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.