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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Ettinger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Choa Hospital Based, LLC
0.5 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-3020
NICOLE COOLIDGE CPNP
Nurse Practitioner (Family)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-7683
YAW OWUSU MD
Pediatrics (Pediatric Cardiology)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-9188
ASHWINI TILAK MD
Otolaryngology (Pediatric Otolaryngology)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
RONAK DAVE
Pediatrics
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (678) 491-9475
PATRICK JOSEPH FLANAGAN MD
Student in an Organized Health Care Education/Training Program
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
ELLEN OLSON CPNP
Nurse Practitioner (Pediatrics)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-1200
MRS. MADELINE CAGLE ALLSOPP RN
Nurse Practitioner (Pediatrics)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437

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 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.

Where is Nicholas Ettinger located?

Nicholas Ettinger practices at 2220 N Druid Hills Rd NE, Atlanta, GA 30329. The listed phone number is (404) 785-7585.

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.

Is Nicholas Ettinger enrolled in Medicare?

Yes. Nicholas Ettinger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicholas Ettinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Ettinger reassigns Medicare benefits to Choa Hospital Based, LLC (Brookhaven, GA). The 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 Nicholas Ettinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 20 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.