CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC – NPI #1558727289
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC is a thoracic surgeon located in BROOKHAVEN, GA. NPPES has assigned the NPI number 1558727289 to CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC on January 11, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was last updated on Oct 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC below.

NPI Profile for
CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC

NPI Number
1558727289
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARDIOTHORACIC PROVIDERS AT CHILDREN'S, LLC
Primary location
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329-2401
Phone: (404) 785-5437 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RUTH FOWLER
CHIEF FINANCIAL OFFICER
Phone: (404) 785-5437
Updated
Certification Date
Oct 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)
2086S0120X
- Surgery / Pediatric Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.