CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC
NPI 1558727289
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Brookhaven, GA

Q: What is Cardiothoracic Providers At Children's, LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since January 11, 2016

1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329(404) 785-5437 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: Mar 28, 2023, Oct 23, 2020, Jan 11, 2016 (3 updates tracked since 2016).

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About Cardiothoracic Providers At Children's, Llc NPPES

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

CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC (NPI 1558727289) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Brookhaven, Georgia and active in the NPI registry since January 2016. The organization lists Ruth Fowler, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1558727289

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameCARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC

Location Address1575 NORTHEAST EXPY NEBrookhaven, GA 30329-2401

Mailing Address1575 Northeast Expy NeBrookhaven, GA 30329-2401

Phone(404) 785-5437

Organization SubpartNo

Authorized OfficialRuth FowlerChief Financial Officer · (404) 785-5437

Enumeration DateJanuary 11, 2016

Last NPPES UpdateOctober 17, 20253 updates tracked since enumeration

NPPES CertifiedOctober 17, 2025

✔ NPI 1558727289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 9 clinicians reassign Medicare billing to Cardiothoracic Providers At Children's, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.