Choa Hospital Based, LLC
Choa Hospital Based, LLC is a healthcare organization registered as Pediatrics Physician in Brookhaven, GA, holding Type 2 (organization) NPI 1457695488 since 2012. The authorized official on file is Ruth Fowler, Chief Financial Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457695488 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Choa Hospital Based, LLC |
| Practice address | 1575 NORTHEAST EXPY NE, Brookhaven, GA, 30329 |
| Phone | 4047856000 |
| Enumeration date | 2012-11-15 |
| Last updated in NPPES | 2025-10-17 |
Authorized official
| Name | Ruth Fowler |
|---|---|
| Title | Chief Financial Officer |
| Phone | 4047855437 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085P0229X | Pediatric Radiology Physician | Secondary | — | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | Secondary | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | Secondary | — | — |
| 207ZP0213X | Pediatric Pathology Physician | Secondary | — | — |
| 207LP3000X | Pediatric Anesthesiology Physician | Secondary | — | — |
| 367H00000X | Anesthesiologist Assistant | Secondary | — | — |
| 363LN0000X | Neonatal Nurse Practitioner | Secondary | — | — |
| 208000000X | Pediatrics Physician | Primary | — | — |
Copy-ready billing details
Provider: Choa Hospital Based, LLC NPI: 1457695488 Taxonomy: 208000000X (Pediatrics Physician) Address: 1575 NORTHEAST EXPY NE, Brookhaven, GA, 30329
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194788869 | James Fortenberry | Individual | Pediatric Critical Care Medicine Physician | Brookhaven, GA |
| 1548219603 | Usha Sathian | Individual | Pediatrics Physician | Brookhaven, GA |
| 1023194735 | Daniel Salinas | Individual | Pediatrics Physician | Brookhaven, GA |
| 1437203098 | Children'S Anesthesia Services, LLC | Organization | Pediatric Anesthesiology Physician | Brookhaven, GA |
| 1740334291 | Children'S Sedation Services, LLC | Organization | Critical Care Medicine (Anesthesiology) Physician | Brookhaven, GA |
| 1144374604 | Children'S Bmh Providers, LLC | Organization | Pediatrics Physician | Brookhaven, GA |
| 1659425825 | Urgent Care at Children'S, Inc. | Organization | Pediatrics Physician | Brookhaven, GA |
| 1255475091 | Pediatric Neurosurgery Associates at Children'S, LLC | Organization | Neurological Surgery Physician | Brookhaven, GA |
Verify this record
Cross-check NPI 1457695488 against the authoritative CMS record: view Choa Hospital Based, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Choa Hospital Based, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-17.