CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE (NPI# 1730251695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730251695 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE |
| Practice Address |
5445 Meridian Marks Rd Ne Suite 200 Atlanta GA 30342-4763 |
| Mailing Address |
1584 Tullie Cir Ne Atlanta GA 30329-2311 |
| Practice Telephone | 4047853229 |
| Mailing Telephone | 4047853229 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | MR. HAYDEN MATHIESON (VICE PRESIDENT, MANAGED CARE) |
| Authorized Official Telephone | 4047850589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 060-303 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE PROVIDER ID | 325813 | 01 |
| GA | 000001636D | 05 | |
| GA | PEACH STATE PROVIDER ID | 000001636D | 01 |
| GA | AMERIGROUP PROVIDER ID | 10060840 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538631437 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 1400 Tullie Rd Ne Ste 601, Atlanta, GA 30329-2309 | 2018-12-18 |
| 1316456825 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 605 Big Shanty Road, Nw, Ste 100, Kennesaw, GA 30144-3646 | 2017-09-27 |
| Street Address |
5445 MERIDIAN MARKS RD NE SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053816 | Kathryn Horton Jackson | Pharmacist | 5445 Meridian Marks Rd Ne, Suite 190, Atlanta, GA 30342-4763 | 2005-09-13 |
| 1265772776 | Keri Liles | Physician Assistant | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2013-02-20 |
| 1225375652 | Brain Stimullation Clinic, LLC | Health Maintenance Organization | 5445 Meridian Marks Rd Ne, Suite 370, Atlanta, GA 30342-4763 | 2013-01-04 |
| 1487926440 | Kirsten Halle Warnock | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2012-02-06 |
| 1073881777 | Veronica Hill | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2011-12-08 |
| 1851607220 | Ashley S Reid | Registered Nurse | 5445 Meridian Marks Rd Ne, Suite 350, Atlanta, GA 30342-4763 | 2010-08-24 |
| 1659682789 | Melanie L. Turco | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Ste 430, Atlanta, GA 30342-4763 | 2010-06-23 |
| 1689818312 | Piedmont Ear Nose & Throat Associates | Otolaryngology | 5445 Meridian Marks Rd Ne, Suite 125, Atlanta, GA 30342-4763 | 2009-04-24 |
| 1437319134 | Pediatric Eye Consultants of Atlanta, LLC | Ophthalmology | 5445 Meridian Marks Rd Ne, Suite 220, Atlanta, GA 30342-4763 | 2008-06-16 |
| 1689840852 | Childrens Care Pediatrics, PC | Pediatrics | 5445 Meridian Marks Rd Ne, Suite380, Atlanta, GA 30342-4763 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538631437 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 1400 Tullie Rd Ne Ste 601, Atlanta, GA 30329-2309 | 2018-12-18 |
| 1598193831 | Graham Reaves | Rehabilitation Unit | 1901 Phoenix Blvd, Suite 120, Atlanta, GA 30349-5063 | 2013-10-24 |
| 1275875395 | Choa Orthotics and Prosthetics | Rehabilitation Unit | 6 Executive Park Dr Ne, Atlanta, GA 30329-2221 | 2013-03-27 |
| 1467771923 | Children's Healthcare of Atlanta | Rehabilitation Unit | 5455 Meridian Marks Rd Ne Ste 300, Atlanta, GA 30342-4722 | 2010-05-24 |
| 1649342502 | Children's Healthcare of Atlanta At Egleston | Rehabilitation Unit | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2006-11-15 |
| 1295760296 | Wellstar Atlanta Medical Center, Inc | Rehabilitation Unit | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2006-07-11 |
| 1144280215 | Piedmont Hospital, Inc. | Rehabilitation Unit | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316456825 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 605 Big Shanty Road, Nw, Ste 100, Kennesaw, GA 30144-3646 | 2017-09-27 |
| 1386177798 | Southeast Georgia Health Services, L.L.C. | Rehabilitation Unit | 2500 Satilla Pkwy, Waycross, GA 31503-8852 | 2017-04-04 |
| 1578996245 | Complete Healthcare Management LLC | Rehabilitation Unit | 1060 Deer Chase, Stone Mountain, GA 30088-2404 | 2013-08-16 |
| 1306197702 | Children's Healthcare of Atlanta | Rehabilitation Unit | 2270 Duluth Hwy, Duluth, GA 30097-4010 | 2012-09-25 |
| 1497035489 | Body Mechanics Rehabilitation Services, LLC | Rehabilitation Unit | 524 New River Way, Mcdonough, GA 30252-4153 | 2011-08-22 |
| 1598990376 | Phoebe Sumter Medical Center, Inc. | Rehabilitation Unit | 126 Hwy 280 W, Americus, GA 31719-8645 | 2009-05-21 |
| 1124295274 | Va Medical Center-downtown Division/augusta | Rehabilitation Unit | 3336 Thames Pl, Hephzibah, GA 30815-7176 | 2008-05-08 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
| 1437103496 | Hca Health Services of Georgia, Inc. | Rehabilitation Unit | 102 Frist Ct, Columbus, GA 31909-3578 | 2006-05-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.