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DR. EDWARD MARVIN GOTLIEB MD
NPI 1093713356
Pediatrics - Adolescent Medicine in Stone Mountain, GA

Active since July 11, 2005
5405 MEMORIAL DR, BUILDING D, STONE MOUNTAIN, GA 30083(404) 296-3800(404) 297-8753 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edward Marvin Gotlieb Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD MARVIN GOTLIEB MD (NPI 1093713356) is an individual adolescent medicine provider in Stone Mountain, Georgia, licensed in Georgia (014500) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1093713356
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. EDWARD MARVIN GOTLIEBCredential: MD
Location Address5405 MEMORIAL DR, BUILDING DStone Mountain, GA 30083-3234
Mailing Address5405 Memorial Dr, Building DStone Mountain, GA 30083-3234 · (404) 296-3800 · Fax (404) 297-8753
Phone(404) 296-3800
Fax(404) 297-8753
Sole ProprietorNo
Enumeration DateJuly 11, 2005
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1093713356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in GA · 014500
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
5405 MEMORIAL DR, Stone Mountain, GA 30083
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOEBE GATES THORPE M.D., M.P.H.
Specialist
5405 MEMORIAL DR, SUITE D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 296-3800
TINITA SIMMONDS
Counselor (Professional)
5405 MEMORIAL DR, BLDG C
STONE MOUNTAIN, GA 30083
Dekalb County (678) 999-2611
EDWARD M. GOTLIEB, M.D., ET AL DBA THE PEDIATRIC CENTER
Pediatrics
5405 MEMORIAL DR, BUILDING D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 296-3800
DR. JAQUELIN SMITH GOTLIEB MD
Pediatrics
5405 MEMORIAL DR, BUILDING D
STONE MOUNTAIN, GA 30083
Dekalb County (404) 296-3800
NTASHA HODGE LPC
Counselor (Mental Health)
5405 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (678) 999-2611
ESSENCE OF CARE INC
Community/Behavioral Health
5405 MEMORIAL DR, SUITE G&H
STONE MOUNTAIN, GA 30083
Dekalb County (404) 975-4680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Gotlieb's NPI number?

The NPI number for Edward Gotlieb is 1093713356. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Edward Gotlieb located?

Edward Gotlieb practices at 5405 Memorial Dr Building D, Stone Mountain, GA 30083. The listed phone number is (404) 296-3800.

What is Edward Gotlieb's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Edward Gotlieb accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Edward Gotlieb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Gotlieb was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.