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: July 26, 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
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

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

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.

Pediatrics
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Nurse Practitioner (Pediatrics)
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Pediatrics
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Speech-Language Pathologist
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Pediatrics (Pediatric Critical Care Medicine)
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Neurological Surgery
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Nurse Practitioner (Family)
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dentist (Pediatric Dentistry)
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329

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.

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 with the weekly NPPES data releases published by CMS.