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The Emory Clinic Pediatric Providers

Pediatric Surgery Physician in Decatur, GA · enumerated 2007 · authorized official Dorothy Cook Walter, Director System Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720285653

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Registry record

Entity type Organization (Type 2)
Legal business name The Emory Clinic Pediatric Providers
Practice address 101 W Ponce De Leon Ave, Ste 300, Decatur, GA, 30030
Phone (404) 778-2144
Fax (404) 778-7466
Enumeration date Jul 3, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207LP3000X Pediatric Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary
207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207XP3100X Pediatric Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207YP0228X Pediatric Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
207ZP0213X Pediatric Pathology Physician Allopathic & Osteopathic Physicians Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2085P0229X Pediatric Radiology Physician Allopathic & Osteopathic Physicians Secondary
2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Dorothy Cook Walter
Title Director System Credentialing
Phone (404) 778-2144

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is The Emory Clinic Pediatric Providers located?
The practice location on file with NPPES is in Decatur, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.