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CHOA HOSPITAL BASED, LLC
NPI 1457695488
Pediatrics in Brookhaven, GA

Active since November 15, 2012
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329(404) 785-6000 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: Feb 23, 2023, Oct 23, 2020 (2 updates tracked since 2020).

About Choa Hospital Based, Llc NPPES

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

CHOA HOSPITAL BASED, LLC (NPI 1457695488) is a healthcare organization registered as a pediatrics in Brookhaven, Georgia and active in the NPI registry since November 2012. The organization lists Ruth Fowler, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1457695488
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHOA HOSPITAL BASED, LLC
Location Address1575 NORTHEAST EXPY NEBrookhaven, GA 30329-2401
Mailing Address1575 Northeast Expy NeBrookhaven, GA 30329-2401 · (404) 785-7876
Phone(404) 785-6000
Organization SubpartNo
Authorized OfficialRuth FowlerChief Financial Officer · (404) 785-5437
Enumeration DateNovember 15, 2012
Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
✔ NPI 1457695488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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 ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X
Also ListedPathology · Pediatric PathologyTaxonomy 207ZP0213X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
Also ListedAnesthesiologist AssistantTaxonomy 367H00000X
1575 NORTHEAST EXPY NE, Brookhaven, GA 30329
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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)

Choa Hospital Based, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

249

Medicare enrollment records show 249 clinicians reassign Medicare billing to Choa Hospital Based, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 193 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Anesthesiology50
Anesthesiology Assistant43
Certified Registered Nurse Anesthetist (CRNA)33
General Surgery28
Nurse Practitioner24
Critical Care (Intensivists)19
Pathology14
Pediatric Medicine13
8 other specialties25

Nearest to this location (20)

See all 249
Michael Leshen, M.D.
Interventional Radiology
NPI 1730611799
1575 NORTHEAST EXPRESSWAY
Atlanta, GA 30329
(404) 785-3655
✔ PECOS✔ Accepts MedicareSame address
Robert Bruce, MD
Orthopedic Surgery
NPI 1972605681
1400 TULLIE RD NE FL 2
Atlanta, GA 30329
(404) 255-1933
✔ PECOS✔ Accepts Medicare0.4 mi
Nicholas Fletcher, MD
Orthopedic Surgery
NPI 1205983178
1400 TULLIE RD NE FL 2
Atlanta, GA 30329
(404) 255-1933
✔ PECOS✔ Accepts Medicare0.4 mi
Joshua Myers, FNP-BC
Nurse Practitioner
NPI 1134506124
1400 TULLIE RD NE FL 2
Atlanta, GA 30329
(404) 255-1933
✔ PECOS✔ Accepts Medicare0.4 mi
Cassandra Simon, NP
Nurse Practitioner
NPI 1114680196
1400 TULLIE RD NE
Atlanta, GA 30329
(404) 785-1691
✔ PECOS0.4 mi
Mihaela Damian, MD
Critical Care (Intensivists)
NPI 1144471681
2200 NORTH DRUD HILLS
Atlanta, GA 30329
(404) 785-5437
✔ PECOS0.4 mi
Mark Mai, MD, MHS
Pediatric Medicine
NPI 1316358039
2200 N DRUID HILLS ROAD
Atlanta, GA 30329
(404) 785-4322
✔ PECOS0.4 mi
Adam Kaplon, MD
Anesthesiology
NPI 1316569015
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(973) 901-4522
✔ PECOS✔ Accepts Medicare0.4 mi
Nadine Najjar
Pediatric Medicine
NPI 1831693571
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-5437
✔ PECOS✔ Accepts Medicare0.4 mi
Logan Young, RN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184467581
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-6712
0.4 mi
Morgan Corder, MSN, CRNP-AC
Nurse Practitioner
NPI 1316567373
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-5437
✔ PECOS0.4 mi
Anna Katsis, BSN, SRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962238972
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-5437
✔ Accepts Medicare0.4 mi
Justin Long, MD
Anesthesiology
NPI 1770718843
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-6670
✔ PECOS0.4 mi
Natalie Bishop, M.D.
Critical Care (Intensivists)
NPI 1629331004
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-7585
✔ PECOS✔ Accepts Medicare0.5 mi
Ann Brewton
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063200210
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-5437
✔ Accepts Medicare0.5 mi
Carlton Davis, MD
Anesthesiology
NPI 1750918744
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(770) 793-7742
✔ PECOS0.5 mi
Nicholas Ettinger, MD, PHD
Pediatric Medicine
NPI 1649413824
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-7585
✔ PECOS✔ Accepts Medicare0.5 mi
John Grunyk, MD
Critical Care (Intensivists)
NPI 1871053744
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(404) 785-2344
✔ PECOS0.5 mi
Kelbie Kerr
Anesthesiology Assistant
NPI 1326661620
2220 N DRUID HILLS RD NE
Atlanta, GA 30329
(225) 715-1373
✔ Accepts Medicare0.5 mi
Bhargava Mullapudi, M.D.
General Surgery
NPI 1649584780
2220 N DRUID HILLS RD NE # CL.14324
Atlanta, GA 30329
(404) 785-0389
✔ PECOS✔ Accepts Medicare0.5 mi
See all 249 clinicians

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 Choa Hospital Based, LLC's NPI number?

The NPI number for Choa Hospital Based, LLC is 1457695488. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Choa Hospital Based, LLC located?

Choa Hospital Based, LLC is located at 1575 Northeast Expy NE, Brookhaven, GA 30329. The listed phone number is (404) 785-6000.

What is Choa Hospital Based, LLC's specialty?

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

Is Choa Hospital Based, LLC enrolled in Medicare?

Yes. Choa Hospital Based, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Choa Hospital Based, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 249 clinicians in 16 Medicare specialties reassign their Medicare billing to Choa Hospital Based, 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. The largest specialties are Anesthesiology (50), Anesthesiology Assistant (43) and Certified Registered Nurse Anesthetist (CRNA) (33). Of these, 1 practice at this address and 193 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 Choa Hospital Based, 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.