Dr Edward Marvin Gotlieb, MD - Pediatrics in Stone Mountain, GA

Dr Edward Marvin Gotlieb, MD is a Pediatrics - Adolescent Medicine physician based in Stone Mountain, Georgia. Dr Edward Marvin Gotlieb is licensed to practice in Georgia (license number 014500) and his current practice location is 5405 Memorial Dr, Building D, Stone Mountain, Georgia. He can be reached at his office (for appointments etc.) via phone at (404) 296-3800.

NPI number for Dr Edward Marvin Gotlieb is 1093713356 and his current mailing address is 5405 Memorial Dr, Building D, Stone Mountain, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093713356.

Contact Information

Dr Edward Marvin Gotlieb, MD
5405 Memorial Dr, Building D,
Stone Mountain, GA 30083-3234
(404) 296-3800
(404) 297-8753

Map and Direction




Physician's Profile

Full NameDr Edward Marvin Gotlieb
GenderMale
SpecialityPediatrics - Adolescent Medicine
Location5405 Memorial Dr, Stone Mountain, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093713356
  • Provider Enumeration Date: 07/11/2005
  • Last Update Date: 09/28/2011

Medical Identifiers

Medical identifiers for Dr Edward Marvin Gotlieb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093713356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 014500 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward Marvin Gotlieb is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Edward Marvin Gotlieb, MD
5405 Memorial Dr, Building D,
Stone Mountain, GA 30083-3234

Ph: (404) 296-3800
Dr Edward Marvin Gotlieb, MD
5405 Memorial Dr, Building D,
Stone Mountain, GA 30083-3234

Ph: (404) 296-3800

Reviews and Comments


Pediatrics Doctors in Stone Mountain, GA

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Dr. Jaquelin Smith Gotlieb, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5405 Memorial Dr, Building D, Stone Mountain, GA 30083
Phone: 404-296-3800    Fax: 404-297-8753

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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