Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Scottish Rite Children's Medical Center

Organization Clinical Neuropsychologist · NPI 1184779332

Scottish Rite Children's Medical Center is a Clinical Neuropsychologist in Atlanta, Georgia. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
10
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Practice location Address checks out

1001 Johnson Ferry Rd NE
Atlanta, GA 30342-1605
Phone: (404) 785-5252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X
Clinical Neuropsychologist Taxonomy 103G00000X
Dentist Taxonomy 122300000X
Pediatric Dentistry Taxonomy 1223P0221X
Pediatric Pathology Physician Taxonomy 207ZP0213X
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X
Pediatric Rehabilitation Medicine Physician Taxonomy 2081P0010X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Hospitalist Physician Taxonomy 208M00000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1184779332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Fowler — Chief Financial Officer · (404) 785-5437
Other names Children'S Healthcare Of Atlanta At Scottish Rite; Children'S Healthcare Of Atlanta At Scottish Rite
NPI enumeratedJanuary 25, 2007
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address1575 Northeast Expy Ne, Brookhaven, GA 30329-2401

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