SCOTTISH RITE CHILDREN'S MEDICAL CENTER
NPI 1184779332
Pediatrics - Pediatric Hematology-Oncology in Atlanta, GA

Q: What is Scottish Rite Children's Medical Center's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Active since January 25, 2007

1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342(404) 785-5252 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2025, Mar 24, 2023, Oct 23, 2020 (3 updates tracked since 2020).

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About Scottish Rite Children's Medical Center NPPES

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

SCOTTISH RITE CHILDREN'S MEDICAL CENTER (NPI 1184779332), doing business as Children's Healthcare Of Atlanta At Scottish Rite, is a healthcare organization registered as a pediatric hematology-oncology in Atlanta, Georgia and active in the NPI registry since January 2007. The organization lists Ruth Fowler, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1184779332

Entity TypeOrganization

Primary Taxonomy2080P0207X

Legal Business NameSCOTTISH RITE CHILDREN'S MEDICAL CENTER

Location Address1001 JOHNSON FERRY RD NEAtlanta, GA 30342-1605

Mailing Address1575 Northeast Expy NeBrookhaven, GA 30329-2401

Phone(404) 785-5252

Organization SubpartNo

Authorized OfficialRuth FowlerChief Financial Officer · (404) 785-5437

Enumeration DateJanuary 25, 2007

Last NPPES UpdateOctober 17, 20253 updates tracked since enumeration

NPPES CertifiedOctober 17, 2025

✔ NPI 1184779332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedDentistTaxonomy 122300000X

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedPathology · Pediatric PathologyTaxonomy 207ZP0213X

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X

Also ListedPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineTaxonomy 2081P0010X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

1001 JOHNSON FERRY RD NE, Atlanta, GA 30342

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Other Names 1

Doing Business AsChildren's Healthcare Of Atlanta At Scottish Rite

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

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Other Providers at the Same Location NPPES 20

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

BRITTANY KATHRYN SUCHANEK CPNP

Nurse Practitioner (Pediatrics)