NICHOLAS A ETTINGER MD, PHD
NPI 1649413824
Pediatrics - Pediatric Critical Care Medicine in Atlanta, GA

Q: What is Nicholas Ettinger's NPI number?

The NPI number for Nicholas Ettinger is 1649413824. It was assigned to this individual provider in the NPPES registry on April 17, 2009.

Q: What is Nicholas Ettinger's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Ettinger was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 17, 2009PECOS EnrolledAccepts Medicare Assignment

2220 N DRUID HILLS RD NE, ATLANTA, GA 30329(404) 785-7585 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas A Ettinger Md, Phd NPPES

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

NICHOLAS A ETTINGER MD, PHD (NPI 1649413824) is an individual pediatric critical care medicine provider in Atlanta, Georgia, licensed in Georgia (95129) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1649413824

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameNICHOLAS A ETTINGERCredential: MD, PHD

Location Address2220 N DRUID HILLS RD NEAtlanta, GA 30329-3117

Mailing Address2220 N Druid Hills Rd Ne Fl 6Atlanta, GA 30329-3117 · (404) 785-7585

Phone(404) 785-7585

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateApril 17, 2009

Last NPPES UpdateFebruary 26, 2025

NPPES CertifiedFebruary 26, 2025

✔ NPI 1649413824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in GA · 95129✔ Licensed in TN · 0000048757✔ Licensed in TX · Q6186

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2220 N DRUID HILLS RD NE, Atlanta, GA 30329

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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 and accepts Medicare assignment

Nicholas A Ettinger Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123473527

PECOS Enrollment IDI20231004002354

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.

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.

DR. JOEL A. FRIEDLANDER DO

Pediatrics (Pediatric Gastroenterology)