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

Choa Hospital Based, LLC

Organization Pediatric Anesthesiology Physician · NPI 1457695488

Choa Hospital Based, LLC is a Pediatric Anesthesiology Physician in Brookhaven, Georgia. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1575 NE Expy NE
Brookhaven, GA 30329-2401
Phone: (404) 785-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Anesthesiology Physician Taxonomy 207LP3000X
Pediatric Pathology Physician Taxonomy 207ZP0213X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X
Pediatric Radiology Physician Taxonomy 2085P0229X
Neonatal Nurse Practitioner Taxonomy 363LN0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1457695488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Fowler — Chief Financial Officer · (404) 785-5437
NPI enumeratedNovember 15, 2012
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address1575 Northeast Expy Ne, Brookhaven, GA 30329-2401

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