EGLESTON PEDIATRIC GROUP – Pediatrics Physician, NPI 1811041452

EGLESTON PEDIATRIC GROUP is a healthcare provider. based in Atlanta, Georgia. specializing in Pediatrics Physician. The NPI Number for EGLESTON PEDIATRIC GROUP is 1811041452

Main info

Organization
Name
EGLESTON PEDIATRIC GROUP
NPI
1811041452
Phone
Not provided
Address
1575 NE EXPRESSWAY
Authorized Official
LOUETTA CODY MANAGER, PROVIDER ENROLLMENT
Enumeration Date
22 January 2007
Last Update Date
16 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for EGLESTON PEDIATRIC GROUP

  • 1575 NE EXPRESSWAY

    ATLANTA, GA 303292401

    Phone:

    Type: Mailing

  • Clifton Road Northeast, Candler Park, Druid Hills, DeKalb County, Georgia, 30329, United States

    ATLANTA, GA 303221060

    Phone: (404) 785-6000

    Type: Location

  • Northeast Expressway, Brookhaven, DeKalb County, Georgia, 30324, United States

    BROOKHAVEN, GA 303292401

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30329)

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Reviews

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Frequently asked questions

Is there an official ID for EGLESTON PEDIATRIC GROUP in U.S. healthcare records?
The official identifier for EGLESTON PEDIATRIC GROUP is NPI 1811041452.
Is EGLESTON PEDIATRIC GROUP still an active registrant?
EGLESTON PEDIATRIC GROUP carries an active NPI according to the public dataset.
What kind of doctor is EGLESTON PEDIATRIC GROUP?
EGLESTON PEDIATRIC GROUP is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is EGLESTON PEDIATRIC GROUP registered?
Use Atlanta, Georgia as the headline location for EGLESTON PEDIATRIC GROUP here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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