Nicholas A. Ettinger, MD, PHD
NPI 1649413824ActiveIndividual· Pediatrics, Pediatric Critical Care Medicine· Atlanta, GA
Pediatrics, Pediatric Critical Care Medicine (MD, PHD) with Choa Hospital Based, LLC, practicing in Atlanta, Georgia. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1649413824 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, PHD |
| Sole proprietor | Yes |
| NPI issued | Apr 17, 2009 |
| Last updated in NPPES | Feb 26, 2025 |
| Certified by provider | Feb 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Critical Care Medicine Primary | 2080P0203X | 95129 | GA |
| Pediatrics, Pediatric Critical Care Medicine | 2080P0203X | 0000048757 | TN |
| Pediatrics, Pediatric Critical Care Medicine | 2080P0203X | Q6186 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (GA) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Medical group
- Choa Hospital Based, LLCAtlanta, GA · 96 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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