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

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: October 18, 2026.

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

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
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 ListedHospitalistTaxonomy 208M00000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
1001 JOHNSON FERRY RD NE, Atlanta, GA 30342

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scottish Rite Children's Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Scottish Rite Children's Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Hematology/Oncology
NPI 1487604443
5461 MERIDIAN MARK RD STE 400
Atlanta, GA 30342
(404) 785-1112
✔ PECOSSame address
Pathology
NPI 1336106269
1001 JOHNSON FY RD NE
Atlanta, GA 30342
(404) 785-2069
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1588751754
1975 CENTURY BLVD NE
Atlanta, GA 30345
(404) 982-9938
✔ PECOS4.9 mi
General Surgery
NPI 1528151859
1400 TULLIE RD NE FL 1
Atlanta, GA 30329
(404) 785-8787
✔ PECOS✔ Accepts Medicare5.3 mi
General Surgery
NPI 1457485815
1400 TULLIE RD NE FL 1
Atlanta, GA 30329
(404) 785-8787
✔ PECOS✔ Accepts Medicare5.3 mi
General Practice
NPI 1760583710
1400 TULLIE RD NE FL 1
Atlanta, GA 30329
(404) 785-8787
✔ PECOS✔ Accepts Medicare5.3 mi
General Surgery
NPI 1568519098
1400 TULLIE RD NE FL 1
Atlanta, GA 30329
(404) 785-8787
✔ PECOS5.3 mi
Pathology
NPI 1376786392
1405 CLIFTON RD NE
Atlanta, GA 30322
(404) 785-6499
✔ PECOS✔ Accepts Medicare8.0 mi
General Surgery
NPI 1053409698
111 COLCHESTER AVE
Burlington, VT 05401
(802) 847-4273
✔ PECOS942 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Scottish Rite Children's Medical Center's NPI number?

The NPI number for Scottish Rite Children's Medical Center is 1184779332. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Children's Healthcare of Atlanta at Scottish Rite.

Where is Scottish Rite Children's Medical Center located?

Scottish Rite Children's Medical Center is located at 1001 Johnson Ferry Rd NE, Atlanta, GA 30342. The listed phone number is (404) 785-5252.

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.

Is Scottish Rite Children's Medical Center enrolled in Medicare?

Yes. Scottish Rite Children's Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scottish Rite Children's Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Scottish Rite Children's Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (5), Pathology (2) and General Practice (1). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scottish Rite Children's Medical Center was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.