The Emory Clinic Pediatric Providers
NPI 1720285653 · Pediatric Surgery Physician · Decatur, GA
The Emory Clinic Pediatric Providers is a Pediatric Surgery Physician organization in Decatur, GA (NPI 1720285653).
Provider details
- NPI number
- 1720285653
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dorothy Cook Walter, Director System Credentialing(404) 778-2144
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Anesthesiology Physician207LP3000X
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
- Pediatric Orthopaedic Surgery Physician207XP3100X
Allopathic & Osteopathic Physicians
- Pediatric Otolaryngology Physician207YP0228X
Allopathic & Osteopathic Physicians
- Pediatric Pathology Physician207ZP0213X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-07-03
- Last updated
- 2025-09-11
Frequently asked questions
- What is The Emory Clinic Pediatric Providers's NPI number?
- The Emory Clinic Pediatric Providers's National Provider Identifier (NPI) is 1720285653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Emory Clinic Pediatric Providers?
- The Emory Clinic Pediatric Providers is classified in the NPPES registry as Pediatric Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is The Emory Clinic Pediatric Providers located?
- The Emory Clinic Pediatric Providers's practice location on file with NPPES is 101 W Ponce De Leon Ave, Decatur, GA 30030-2528.
- What is The Emory Clinic Pediatric Providers's phone number?
- The practice phone number listed in the NPPES registry for The Emory Clinic Pediatric Providers is (404) 778-2144.
- Who is the authorized official for The Emory Clinic Pediatric Providers?
- The authorized official listed on The Emory Clinic Pediatric Providers's NPPES record is Dorothy Cook Walter, Director System Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Emory Clinic Pediatric Providers's NPI active?
- Yes — The Emory Clinic Pediatric Providers's NPI (1720285653) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.