Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SCOTTISH RITE CHILDREN'S MEDICAL CENTER
Active
Organization
SCOTTISH RITE CHILDREN'S MEDICAL CENTER
Active
Other names
Children's Healthcare of Atlanta at Scottish Rite
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH FOWLER (CHIEF FINANCIAL OFFICER)
(404) 785-5437
Entity
Organization
Contact information
Practice address
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1605
(404) 785-5252
Mailing address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208M00000X
Hospitalist Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
01/25/2007
Last updated
10/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up