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ALEXANDER TARO IWAMOTO MD
NPI 1417416611
Pediatrics in Atlanta, GA

Active since March 18, 2019PECOS Enrolled
1875 CENTURY BLVD NE STE 150, ATLANTA, GA 30345(404) 633-4595 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, Mar 18, 2019 (2 updates tracked since 2019).

About Alexander Taro Iwamoto Md NPPES

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

ALEXANDER TARO IWAMOTO MD (NPI 1417416611) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (92011) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417416611
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameALEXANDER TARO IWAMOTOCredential: MD
Location Address1875 CENTURY BLVD NE STE 150Atlanta, GA 30345-3323
Mailing Address1875 Century Blvd Ne Ste 150Atlanta, GA 30345-3323 · (404) 633-4595
Phone(404) 633-4595
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1417416611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 92011
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1875 CENTURY BLVD NE STE 150, Atlanta, GA 30345
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Taro Iwamoto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

LAUREN TASH
Registered Nurse
1875 CENTURY BLVD NE STE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
JOY BECKER PA-C
Physician Assistant
1875 CENTURY BLVD NE STE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
MRS. JENNIFER WING KENNEDY CPNP
Nurse Practitioner
1875 CENTURY BLVD NE STE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
KIMBERLY ROBINSON RN
Registered Nurse
1875 CENTURY BLVD NE STE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
HANNAH-RA CALHOUN
Registered Nurse
1875 CENTURY BLVD NE STE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
ABIGAIL SCANLAN CPNP
Nurse Practitioner (Pediatrics)
1875 CENTURY BLVD NE STE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595
JAMIE MICHELLE HILL CPNP-PC
Nurse Practitioner (Pediatrics)
1875 CENTURY BLVD NE STE 150
ATLANTA, GA 30345
Dekalb County (404) 633-4595

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 Alexander Iwamoto's NPI number?

The NPI number for Alexander Iwamoto is 1417416611. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Alexander Iwamoto located?

Alexander Iwamoto practices at 1875 Century Blvd NE Ste 150, Atlanta, GA 30345. The listed phone number is (404) 633-4595.

What is Alexander Iwamoto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alexander Iwamoto enrolled in Medicare?

Yes. Alexander Iwamoto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Iwamoto was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.