Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cardiothoracic Providers at Children's, LLC

Organization Pediatric Surgery Physician · NPI 1558727289

Cardiothoracic Providers at Children's, LLC is a Pediatric Surgery Physician in Brookhaven, Georgia. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1575 NE Expy NE
Brookhaven, GA 30329-2401
Phone: (404) 785-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X
Pediatric Surgery Physician Taxonomy 2086S0120X

Record details

NPI number1558727289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Fowler — Chief Financial Officer · (404) 785-5437
NPI enumeratedJanuary 11, 2016
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address1575 Northeast Expy Ne, Brookhaven, GA 30329-2401