BREJON MICHAEL CHILDERS MD
NPI 1669175980
Family Medicine in Dunwoody, GA

Q: What is Brejon Childers's NPI number?

The NPI number for Brejon Childers is 1669175980. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Brejon Childers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brejon Childers was last updated on September 21, 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.

Active since March 24, 2023PECOS Enrolled

4500 N SHALLOWFORD RD STE B, DUNWOODY, GA 30338(404) 778-6920(404) 778-6901 Get Directions Write a Review

NPPES record last updated: September 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2025, Mar 24, 2023 (2 updates tracked since 2023).

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About Brejon Michael Childers Md NPPES

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

BREJON MICHAEL CHILDERS MD (NPI 1669175980) is an individual family medicine provider in Dunwoody, Georgia, licensed in Georgia (104838) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2023).

NPPES Registry Identity

NPI1669175980

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBREJON MICHAEL CHILDERSCredential: MD

Location Address4500 N SHALLOWFORD RD STE BDunwoody, GA 30338-6476

Mailing Address4500 N Shallowford Rd Ste BDunwoody, GA 30338-6476 · (404) 778-6920 · Fax (404) 778-6901

Phone(404) 778-6920

Fax(404) 778-6901

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2023

Enumeration DateMarch 24, 2023

Last NPPES UpdateSeptember 21, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2025

✔ NPI 1669175980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 104838

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4500 N SHALLOWFORD RD STE B, Dunwoody, GA 30338

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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 (PECOS)

Brejon Michael Childers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335500925

PECOS Enrollment IDI20251031000972

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 Reassignments

Medicare enrollment records show Brejon Childers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Highlands Medical Services, Inc.

22 mi

Federally Qualified Health Center (FQHC)

260 ELM ST
Cumming, GA 30040

Reassigned Medicare billing, Georgia enrollment
27 clinicians in this Medicare group

NPI 1174529192 (770) 887-1668

Emory Specialty Associates, LLC

74 mi

Anesthesiology

303 SMITH ST
Lagrange, GA 30240

Reassigned Medicare billing, Georgia enrollment
1,506 clinicians in this Medicare group

NPI 1407864168 (404) 778-4888

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN CHO

Family Medicine

4500 N SHALLOWFORD RD STE B
ATLANTA, GA 30338

Dekalb County (404) 778-6920

ADAM WILSON MD, MPH

Family Medicine

4500 N SHALLOWFORD RD STE B
ATLANTA, GA 30338

Dekalb County (404) 727-8843

DR. HARRIS SCOTT DANIELS MD

Student in an Organized Health Care Education/Training Program

4500 N SHALLOWFORD RD STE B
DUNWOODY, GA 30338

Dekalb County (404) 778-6920

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 Brejon Childers's NPI number?

The NPI number for Brejon Childers is 1669175980. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Brejon Childers located?

Brejon Childers practices at 4500 N Shallowford Rd Ste B, Dunwoody, GA 30338. The listed phone number is (404) 778-6920.

What is Brejon Childers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brejon Childers enrolled in Medicare?

Yes. Brejon Childers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brejon Childers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brejon Childers reassigns Medicare benefits to 2 organizations: Georgia Highlands Medical Services, Inc. (Cumming, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each 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 Brejon Childers'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 Brejon Childers was last updated on September 21, 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.