Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417416611 Individual Practitioner Male Practitioner

Dr. Alexander Taro Iwamoto , MD

Pediatrics • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Iwamoto, MD is a registered healthcare professional specializing in Pediatrics in Atlanta, GA. Practice services are available at 1875 CENTURY BLVD NE STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1875 Century Blvd Ne Ste 150

Atlanta, GA 303453323

Telephone 4046334595
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
533 Specialists

Practicing in Atlanta, GA (2326 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 92011

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
NPI 1073560173

Doctor of Medicine (M.D.)

Charlotte Jones , CPNP

Nurse Practitioner - Pediatrics

NPI 1073994026

Certified Pediatric Nurse Practitioner

NPI 1083654008

Doctor of Medicine (M.D.)

NPI 1134168834

Doctor of Medicine (M.D.)

NPI 1144425588

Doctor of Medicine (M.D.)

Lauren Tash

Registered Nurse

NPI 1184447179

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 16, 2023

Registered at 1875 CENTURY BLVD NE STE 150, ATLANTA, GA 303453323 (Tel: 4046334595)

📍
Updated Business Mailing Address March 16, 2023

Registered at 1875 CENTURY BLVD NE STE 150, ATLANTA, GA 303453323 (Tel: 4046334595)

NPI Profile Active March 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2019

Registered at 49 JESSE HILL JR DR SE, ATLANTA, GA 303033049 (Tel: 4047781440)

📍
Updated Business Mailing Address March 18, 2019

Registered at 49 JESSE HILL JR DR SE, ATLANTA, GA 303033049 (Tel: 4047781440)

👤
Provider Name / Credentials Updated March 18, 2019

Recorded as ALEXANDER IWAMOTO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417416611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2019
Last Update: March 16, 2023
Sole Proprietor: No

Mailing Address

1875 Century Blvd Ne Ste 150

Atlanta, GA 303453323

Phone: 4046334595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.