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

Egleston Pediatric Group

Organization Pediatrics Physician · NPI 1811041452

Egleston Pediatric Group is a Pediatrics Physician in Atlanta, Georgia. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
8

Practice location Address checks out

1405 Clifton Rd NE
Atlanta, GA 30322-1060
Phone: (404) 785-6000
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X
Pediatric Endocrinology Physician Taxonomy 2080P0205X
Medical Physician Assistant Taxonomy 363AM0700X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1811041452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louetta Cody — Manager, Provider Enrollment · (404) 785-7876
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address1575 Ne Expressway, Atlanta, GA 30329-2401

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