PEDIATRIC NEUROSURGERY ASSOCIATES AT CHILDREN'S, LLC
NPI 1255475091
Neurological Surgery in Brookhaven, GA

Active since February 16, 2007
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329(404) 255-6509(404) 255-9802 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pediatric Neurosurgery Associates At Children's, Llc NPPES

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

PEDIATRIC NEUROSURGERY ASSOCIATES AT CHILDREN'S, LLC (NPI 1255475091) is a healthcare organization registered as a neurological surgery in Brookhaven, Georgia and active in the NPI registry since February 2007. The organization lists Ruth Fowler, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1255475091
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePEDIATRIC NEUROSURGERY ASSOCIATES AT CHILDREN'S, LLC
Location Address1575 NORTHEAST EXPY NEBrookhaven, GA 30329-2401
Mailing Address1575 Northeast Expy NeBrookhaven, GA 30329-2401 · (404) 785-7876 · Fax (404) 785-7932
Fax(404) 255-9802
Organization SubpartNo
Authorized OfficialRuth FowlerChief Financial Officer · (404) 785-5437
Enumeration DateFebruary 16, 2007
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1255475091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1575 NORTHEAST EXPY NE, Brookhaven, GA 30329

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)

Pediatric Neurosurgery Associates At Children's, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pediatric Neurosurgery Associates At Children's, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Neurosurgery
NPI 1891749925
5461 MERIDIAN MARK RD STE 520
Atlanta, GA 30342
(404) 785-2900
✔ PECOS5.1 mi
Neurosurgery
NPI 1629035092
5461 MERIDIAN MARK RD STE 520
Atlanta, GA 30342
(404) 785-2900
✔ PECOS5.1 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 Pediatric Neurosurgery Associates At Children's, LLC's NPI number?

The NPI number for Pediatric Neurosurgery Associates At Children's, LLC is 1255475091. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Pediatric Neurosurgery Associates At Children's, LLC located?

Pediatric Neurosurgery Associates At Children's, LLC is located at 1575 Northeast Expy NE, Brookhaven, GA 30329. The listed phone number is (404) 255-6509.

What is Pediatric Neurosurgery Associates At Children's, LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Pediatric Neurosurgery Associates At Children's, LLC enrolled in Medicare?

Yes. Pediatric Neurosurgery Associates At Children's, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Neurosurgery Associates At Children's, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Neurosurgery, reassign their Medicare billing to Pediatric Neurosurgery Associates At Children's, LLC. 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. Of these, 2 practice 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 Pediatric Neurosurgery Associates At Children's, LLC 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.