EGLESTON PEDIATRIC GROUP
NPI 1811041452
Pediatrics in Atlanta, GA

Q: What is Egleston Pediatric Group's NPI number?

The NPI number for Egleston Pediatric Group is 1811041452. It was assigned to this organization in the NPPES registry on January 22, 2007.

Q: What is Egleston Pediatric Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since January 22, 2007

1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-6000 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2023, Oct 23, 2020, Aug 22, 2020 (3 updates tracked since 2020).

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About Egleston Pediatric Group NPPES

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

EGLESTON PEDIATRIC GROUP (NPI 1811041452) is a healthcare organization registered as a pediatrics in Atlanta, Georgia and active in the NPI registry since January 2007. The organization lists Louetta Cody, Manager, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1811041452

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameEGLESTON PEDIATRIC GROUP

Location Address1405 CLIFTON RD NEAtlanta, GA 30322-1060

Mailing Address1575 Ne ExpresswayAtlanta, GA 30329-2401

Phone(404) 785-6000

Organization SubpartNo

Authorized OfficialLouetta CodyManager, Provider Enrollment · (404) 785-7876

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJanuary 16, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1811041452 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 ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X

Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

1405 CLIFTON RD NE, Atlanta, GA 30322

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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

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.

CARRIE NG MD

Pediatrics (Pediatric Emergency Medicine)