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

The Emory Clinic Pediatric Providers

Organization Pediatric Anesthesiology Physician · NPI 1720285653

The Emory Clinic Pediatric Providers is a Pediatric Anesthesiology Physician in Decatur, Georgia. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
8

Practice location Address checks out

101 W Ponce De Leon Ave Ste 300
Decatur, GA 30030-2528
Phone: (404) 778-2144
Fax: (404) 778-7466
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X
Pediatric Anesthesiology Physician Taxonomy 207LP3000X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X
Pediatric Otolaryngology Physician Taxonomy 207YP0228X
Pediatric Pathology Physician Taxonomy 207ZP0213X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Pediatric Radiology Physician Taxonomy 2085P0229X

Record details

NPI number1720285653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dorothy Cook Walter — Director System Credentialing · (404) 778-2144
NPI enumeratedJuly 3, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1365 Clifton Rd Ne, Atlanta, GA 30322-1013

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