Children’s Healthcare of Atlanta
Physician Resource Guide 2021
Your guide to Children’s Healthcare of Atlanta programs and services as well as Children’s Physician Group practices and physicians.
Issued 6/1/2021
Table of contents Resources Patient family resources...... 1-3 • 404-785-KIDS (5437) • MYchart • Choa.org • Mobile app • Location map (Emergency Departments, Urgent Care Centers, radiology and lab) Physician resources...... 4-5 • accessCHOA • 404-785-DOCS (3627) • Transfer Center • Virtual visits • Physician Portal • The Children’s Care Network • Physician outreach Children’s Physician Group...... 6-7 • About us • Physician-to-physician service • Four ways to refer a patient Contact information Clinical service areas...... 9-44 Forms and tools Forms...... 45-68 • Children’s Physician Group: - Provider referral form - Orthopaedics and sports medicine patient referral form - Rheumatology guidelines and referral form - Synagis enrollment form • Cardiac: - Pulmonary Hypertension Clinic referral form - Sibley Heart Center Cardiology referral form • Child advocacy: Stephanie V. Blank Center for Safe and Healthy Children request for services form • Concussion: Downtime mild traumatic brain injury and concussion assessment criteria tool • Laboratory: Outpatient requisition form • Neurophysiology: EEG order form • Radiology: - Advanced pediatric imaging form - Interventional radiology form - Pediatric imaging form • Rehabilitation: Rehabilitation services order form • Sleep: Sleep disorders lab order form • Sports medicine: Order form Table of contents Tools...... 69-90 • Our locations and services • Center for Advanced Pediatrics visitor information • Judson L. Hawk Jr., MD, Clinic for Children • accessCHOA: Getting started • Referring patients to a Children’s Emergency Department • Pediatric endocrinology and obesity: A physician’s quick guide • Primary care guideline for new-onset seizure • Radiology CPT codes • Sports medicine physician vs. sports physical therapist Resources Resources
Patient family resources
404-785-KIDS (5437) Choa.org This number is the primary point of contact for patient families. Patient families can use the Children’s website to: This phone number, staffed by a team of experienced • Learn more about our medical services and physicians on Children’s Healthcare of Atlanta representatives, is open our medical staff. 24 hours a day, seven days a week. Patient families can use • Find information, including hours and directions to specific 404-785-KIDS (5437) to: locations. • Access Children’s services. • Prepare for visits and overnight stays. • Schedule and change appointments. • Request copies of medical records. • Reach a physician or department at Children’s. • Contact our team with questions about billing and insurance.
MYchart Mobile app MYchart gives you, your patients and their legal guardians Text the word KIDS to 770-766-3111 to receive a link to the access to a portion of their Epic medical record. It also enables free Children’s mobile app directly on your phone. You can also you and your patients to communicate through a secure online visit the App Store or Google Play to download the Children’s portal or mobile device. With MYchart, your patient families app for your smartphone or tablet. can be more informed, which can lead to improved satisfaction and outcomes. Patient families can: With the Children’s app, patient families can: • View immunization records. • Find a hospital or neighborhood location. • View lab and other test results and get notifications when • Locate a department, patient room or amenity within most results are received. the hospital. • Request prescription refills. • Look up Children’s physicians who see patients at one of our facilities. • Communicate with you by sending and receiving secure messages. • Find our nearest Emergency Department and see wait times. • Find our nearest Urgent Care Center, see wait times and Patient families should visit mychart.choa.org to save your spot in line. activate a MYchart account. • Access your patient information through MYchart.
1 Children’s locations Children’s offers urgent care, radiology, lab and emergency services at the 5 N 6 following locations: Cherokee 1. Egleston hospital 19 Forsyth 1405 Clifton Road NE Fulton
Atlanta, GA 30322 985 575 12 85 Emergency Department, lab and 75 7 11 radiology: CT, DEXA, fluoroscopy, 9 interventional radiology, MRI, nuclear medicine, PET, sedation, ultrasound 10 316 and X-ray 400 75 85 285 285 Gwinnett 2. Hughes Spalding hospital Cobb 3 35 Jesse Hill Jr. Drive SE 75 4 85 Atlanta, GA 30303 400 285 Emergency Department and radiology: W Atlanta 78 E fluoroscopy, ultrasound and X-ray 1 285 75/85 20 Atlanta 3. Scottish Rite hospital 2 Douglas 20 1001 Johnson Ferry Road NE DeKalb Atlanta, GA 30342 75/85 20 20 285 Emergency Department, lab and 285
radiology: CT, DEXA, fluoroscopy, 85 75 285 interventional radiology, MRI, nuclear Fulton Rockdale 285 675 medicine, sedation, ultrasound and X-ray
75 85 4. Children’s at Chamblee-Brookhaven Henry In the Parkview on Peachtree shopping center Clayton Newton 5080 Peachtree Blvd., Suite 100 Fayette Chamblee, GA 30341 Coweta S 8 MAP NOT DRAWN TO SCALE Urgent care
5. Children’s at Cherokee 8. Children’s at Hudson Bridge 12. Children’s at Webb Bridge In the River Pointe shopping center In the Hudson Bridge Crossing shopping center 3155 North Point Parkway 1558 Riverstone Parkway, Suite 100 1510 Hudson Bridge Road Building A, Suite 150 Canton, GA 30114 Stockbridge, GA 30281 Alpharetta, GA 30005 Urgent care Urgent care, X-ray* Lab and radiology*: CT, fluoroscopy, MRI, sedation, ultrasound and X-ray 6. Children’s at Forsyth 9. Children’s at North Point In The Collection at Forsyth 3795 Mansell Road 410 Peachtree Parkway, Suite 300 Alpharetta, GA 30022 Visit choa.org/locations for a Cumming, GA 30041 Urgent care complete listing of all locations including maps, directions, Urgent care, X-ray* 10. Children’s at Satellite Boulevard hours and services. 7. Children’s at Hamilton Creek 2660 Satellite Blvd. 404-785-KIDS (5437) In the Hamilton Mill Town Center Duluth, GA 30096 shopping center Urgent care, lab and radiology*: X-ray and *A department of Children’s at Scottish Rite hospital 2240 Hamilton Creek Parkway, Suite 600 ultrasound Dacula, GA 30019 Children’s Healthcare of Atlanta at Hughes Spalding is owned by the Fulton-DeKalb Hospital Authority and Urgent care 11. Children’s at Town Center managed by HSOC Inc., an affiliate of Children’s. 625 Big Shanty Road NW Kennesaw, GA 30144 Urgent care, lab and radiology*: CT, fluoroscopy, MRI, sedation, ultrasound and X-ray
2 Lugares de atención de Children’s Children’s ofrece servicios de atención de urgencias leves, radiología, laboratorio y 5 N 6 salas de urgencias en los siguientes lugares: Cherokee
1. Egleston hospital 19 Forsyth 1405 Clifton Road NE Fulton
985 Atlanta, GA 30322 575 12 75 85 7 Sala de urgencias, laboratorio y 11 radiología: TC, absorciometría de rayos X, 9 fluoroscopía, radiología intervencionista, 10 RM, medicina nuclear, TEP, sedación, 316 400 ecografía y rayos X 75 85 285 285 Gwinnett 2. Hughes Spalding hospital Cobb 3 35 Jesse Hill Jr. Drive SE 75 4 85 Atlanta, GA 30303 400 285 Sala de urgencias y radiología: W Atlanta 78 E fluoroscopía, ecografía y rayos X 1 285 75/85 20 Atlanta 20 2 3. Scottish Rite hospital Douglas DeKalb 1001 Johnson Ferry Road NE 75/85 20 Atlanta, GA 30342 20 285 Sala de urgencias, laboratorio y 285 radiología: TC, absorciometría de rayos X, 85 75 285 fluoroscopía, radiología intervencionista, Fulton Rockdale 285 675 RM, medicina nuclear, sedación, ecografía
75 y rayos X 85 Henry 4. Children’s at Chamblee-Brookhaven Clayton Newton En el centro comercial Parkview en Peachtree Fayette 5080 Peachtree Blvd., Suite 100 Coweta S 8 MAP NOT DRAWN TO SCALE Chamblee, GA 30341 Atención de urgencias leves 8.Children’s at Hudson Bridge 12. Children’s at Webb Bridge En el centro comercial Hudson Bridge Crossing 3155 North Point Parkway 5. Children’s at Cherokee 1510 Hudson Bridge Road Building A, Suite 150 En el centro comercial River Pointe Stockbridge, GA 30281 Alpharetta, GA 30005 1558 Riverstone Parkway, Suite 100 Atención de urgencias leves, Laboratorio y rayos X*: TC, fluoroscopía, Canton, GA 30114 y rayos X* RM, sedación, ecografía y rayos X Atención de urgencias leves 9. Children’s at North Point 6. Children’s at Forsyth 3795 Mansell Road Visite choa.org/locations para En The Collection en Forsyth Alpharetta, GA 30022 ver mapas, listados de todos los 410 Peachtree Parkway, Suite 300 Atención de urgencias leves centros de atención, indicaciones Cumming, GA 30041 para llegar, horas y ser vicios Atención de urgencias leves, 10. Children’s at Satellite Boulevard completos. y rayos X* 2660 Satellite Blvd. Duluth, GA 30096 404-785-KIDS (5437) 7. Children’s at Hamilton Creek Atención de urgencias leves, laboratorio En el centro comercial Hamilton Mill y rayos X*: rayos X y ecografía *Departamentos del Children’s at Scottish Rite hospital Town Center 2240 Hamilton Creek Parkway, Suite 600 11. Children’s at Town Center Children’s Healthcare of Atlanta at Hughes Spalding Dacula, GA 30019 es propiedad de Fulton-DeKalb Hospital Authority 625 Big Shanty Road NW y es dirigido por HSOC Inc., institución asociada a Atención de urgencias leves Kennesaw, GA 30144 Children’s. Atención de urgencias leves, laboratorio y rayos X*: TC, fluoroscopía, RM, sedación, ecografía y rayos X
3 Physician resources
As one of the largest pediatric healthcare systems in the country, Children’s offers a variety of ways for physicians to reach our staff and clinical services. Visit choa.org/md for more information about these services as well as access to our online forms. accessCHOA Transfer Center AccessCHOA is the web-based interface for the Children’s The Children’s Transfer Center can arrange for the acceptance electronic health record system. It provides customized and admission of your patient with one phone call, 24 hours a notifications about patient events, which can be forwarded to day, seven days a week. We can help: anyone in your practice. In addition, you can use it to: • Coordinate ground or air transportation for your patient. • Place an order for outpatient diagnostics and rehabilitation. • Arrange for a bed with the appropriate level of care to be • Place referrals to Children’s Physician Group specialists and ready upon arrival. specialty clinics. • Initiate registration paperwork, including financial • View notifications about key patient events, including information and pre-certification. admissions and discharges, emergency visits, and lab and Call 888-785-7778 or 404-785-7778 to reach our imaging results. Transfer Center. • Check appointment status and patient scheduling information. AccessCHOA is the primary way your practice Scheduling elective admissions: will receive patient information. To enhance patient If you need to schedule an admission to Children’s and you confidentiality, Children’s will eventually eliminate faxing do not have attending privileges, the Children’s Hospitalist patient information to your practice. Program can assist you with: • Telephone consultations. Ask your physician liaison or visit accessCHOA.org to register • Inpatient management services. and review educational resources. See the Tools section for a • Outpatient diagnostic referrals. tip sheet about accessCHOA. • Specialist referrals.
404-785-DOCS (3627) See the Tools section for our Emergency Department transfer Children’s recognizes that complex navigation is sometimes guidelines. required to access healthcare services. By using this easy-to- remember phone number, physicians can connect to anyone Telemedicine or any service within our organization. The Telemedicine Program at Children’s allows our pediatric specialists to provide care remotely to your patients through 404-785-DOCS is staffed 24 hours a day, seven days a week the use of technology when it is clinically safe and appropriate by a team of experienced Children’s representatives who will to do so. promptly answer your call, evaluate your needs, provide the services requested or route you to the appropriate area. Telemedicine, also referred to as telehealth or virtual visits, uses two-way interactive video over a secure, HIPAA-compliant Call 404-785-DOCS (3627) to: network. Telemedicine visits with Children’s can take place in • Access any Children’s service. the comfort of a patient’s home or at another private location. • Reach a patient, employee or department at Children’s. • Collaborate on patient care. Refer your patient for an in-person visit with a Children’s pediatric specialist. Our team will determine whether a • Schedule a patient appointment or ancillary test. telemedicine visit is appropriate. Patient families may also • Refer a patient to a Children’s Physician Group practice. call their provider to discuss if a telemedicine appointment is • Speak to a Children’s Physician Group provider during appropriate for their next visit. business hours through our physician-to-physician service. Note: Measures and policies implemented during the COVID-19 pandemic have reduced some barriers to telemedicine access and reimbursement. Many of these policies are temporary and could change at any time.
4 Physician Portal Physician outreach The Children’s Physician Portal offers easy access to clinical A physician liaison is your primary contact for questions, reference tools and resources for members of the Children’s concerns and issues. Physician liaisons help with: medical staff, including: • Barriers to access. • Clinical care guidelines to help you provide • In-services. high-quality care. • Order forms or materials. • System leader contacts and structure to help you engage with your leaders. To learn more visit choa.org/outreach. • Professional development and continuing medical education (CME) tools and credit opportunities. Meet our liaisons • A Children’s medical staff directory. Blair Boone, Physician Liaison Regions: Atlanta, Henry • Curated medical news, strategies and other information. [email protected] or 404-718-9426 • Wellness tools and resources to support your personal well-being. Tim Halstead, Physician Liaison Regions: Athens, Dalton, Gainesville Access the Physician Portal using your Children’s network ID [email protected] or 404-702-6991 and password at md.choa.org. If you have forgotten your ID or password, or need one, contact the Children’s Solution Center Richelle Hinson, Physician Liaison at 404-785-6767. Regions: Augusta, Dublin, Macon, Savannah [email protected] or 404-719-0279
The Children’s Care Network Cassandra Johnston, Physician Liaison (TCCN) Regions: Atlanta, Coweta, Fayette The Children’s Care Network (TCCN) is a clinically integrated [email protected] or 404-345-7483 partnership between Children’s and community physicians Amanda Lindsay, Physician Liaison designed to help facilitate better health outcomes for our Regions: Forsyth patient population. The collaborative system also offers group [email protected] or 404-702-8982 purchasing power, cost savings and technical resources. Stephanie Lunsford, Physician Liaison To find out more about our clinically integrated network, Regions: Albany, Brunswick, Columbus, Valdosta email [email protected], call 404-785-7935 or [email protected] or 404-713-6487 visit tccn-choa.org. Katie Smith, Physician Liaison Regions: Barrow, East DeKalb, Gwinnett, Walton [email protected] or 505-702-9588
Brittney Stephens, Physician Liaison Regions: Cobb, Douglas [email protected] or 404-713-5871
5 Children’s Physician Group
About us Children’s Physician Group is one of the largest multispecialty pediatric physician practices in the Southeast, with nearly 500 physicians and more than 350 advanced practice providers who are employed by Children’s Healthcare of Atlanta and/or serve as members of the pediatric faculty at the Emory University School of Medicine. With convenient locations at our three hospitals and multiple neighborhood locations in Atlanta and surrounding communities, our pediatric-trained doctors and surgeons represent more than 30 pediatric specialties.
Pediatric specialties • Allergy and immunology • Hematology/oncology • Pathology • Anesthesia • Hepatology • Physiatry • Apnea • Hospitalists • Plastic surgery and craniofacial • Cardiothoracic surgery • Infectious diseases • Pulmonology • Child advocacy • Interventional radiology • Radiology • Critical care • Neonatology • Rheumatology • Cystic fibrosis (CF) • Nephrology • Sedation services • Dentistry and orthodontics • Neurology • Sleep • Emergency medicine • Neuropsychology • Transplant • Endocrinology • Neurosurgery • Gastroenterology • Nutrition • General surgery • Orthopaedics and sports medicine • Gynecology • Otolaryngology
Multispecialty clinics Children’s Physician Group providers also participate in several multispecialty clinics, including: • 22q Deletion • Genetics • Pain Relief • Aerodigestive • Hypertension • Pelvic and Anorectal • Cerebral Palsy • Infantile Spasms • Spasticity • Cerebrovascular Disorders • Leukodystrophy • Spina Bifida • Chronic Kidney Disease • Medically Complex • Strong4Life • Concussion • Muscular Dystrophy • Technology Dependent • Craniofacial Feeding • Neuro Metabolic • Tuberous Sclerosis • Craniofacial Speech • Neuro Spine • Vagus Nerve Stimulation • Developmental Neurology • Neurofibromatosis • Vascular Anomalies • Developmental Progress • Neurogastroenterology and Motility • Differences of Sexual Development • Neuromuscular • Epilepsy/Ketogenic Diet • New-Onset Seizure
Visit choa.org/cpg for additional information about our specialties and clinics.
6 Physician-to-physician service Four ways to refer a patient Physician-to-physician is a service offered through At Children’s Physician Group, we want to make it easy for you 404-785-DOCS (3627). The goal of this service is to provide to submit a referral to our pediatric specialty practices. you with improved access to Children’s Physician Group practices during business hours. A designated provider for To refer a patient, use one of the following four methods: participating Children’s Physician Group practices is available • accessCHOA: AccessCHOA is a free, secure, web-based Monday through Friday from 8 a.m. to 5 p.m., excluding electronic health record system that provides physicians holidays, to respond to your non-urgent clinical inquiry. the ability to electronically submit referrals to Children’s Physician Group specialists. It also provides instant access Physician-to-physician consultations should be requested to your patients’ information, customized notifications about when you need to speak with a subspecialist for advice patient events, and the ability to view the referral status about a patient. It should not be used for questions that do and results. not require a subspecialist physician, such as lab results or appointment scheduling. • choa.org/md: Visit the Physician Resource page on the Children’s website for access to the Children’s Physician Group online referral form. Upload relevant clinical Enhancements documents, patient demographics and imaging/diagnostic To improve your experience with our physician-to-physician tests with the click of a button. service and better meet your needs, we have made the • Fax: See the Forms section for a hard copy of the Children’s following enhancements: Physician Group referral form. Completed forms may be • Non-urgent, established patients: Our turnaround time faxed to 404-785-9111. has been designated to 24 hours. • 404-785-DOCS (3627): This single point of contact for • Urgent, established or non-established patients: physicians streamlines the referral process through an easy- Our turnaround time has been designated to 60 minutes. to-remember phone number. 404-785-DOCS is staffed In more than 60% of cases, you will be connected directly 24 hours a day, seven days a week. Call 404-785-DOCS with a subspecialist. and ask to speak with the clinical referral team to receive • Escalation: If you do not receive a call back in the the status of your referral. Our clinical referral team is designated time frame, call 404-785-DOCS (3627) and available Monday through Friday from 8 a.m. to 5 p.m. your call will be escalated to practice leadership. for any questions or concerns regarding your patient’s clinical referral.
See the Contact information section for a listing of Children’s Physician Group ambulatory specialties, physicians and locations.
7
Contact information Contact information
Clinical service areas
Physicians: 404-785-DOCS (3627) Parent/guardian: 404-785-KIDS (5437) Transfer Center: 888-785-7778 or 404-785-7778 Website: choa.org/md
The following is an alphabetical listing of Children’s Healthcare of Atlanta programs and services as well as Children’s Physician Group ambulatory practices and physicians.
ADOLESCENT MEDICINE 404-785-9855 404-785-9726
Hughes Spalding hospital 35 Jessie Hill Jr. Drive SE Atlanta, GA 30303
AFTER-HOURS CLINIC 404-785-5475 404-785-9231
Hughes Spalding hospital 35 Jessie Hill Jr. Drive SE Atlanta, GA 30303
ALLERGY AND IMMUNOLOGY Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Fri) Hughes Spalding (Mon, Tue) 1400 Tullie Road NE, Fifth Floor 35 Jesse Hill Jr. Drive SE Atlanta, GA 30329 Atlanta, GA 30303 All physicians Drs. G. Lee, T. Lee, Vanijcharoenkarn
Physicians: Lisa Kobrynski, MD, MPH Tricia Lee, MD Brian Vickery, MD Marcus Professor, Allergy Assistant Professor, Director, Food Allergy and Immunology Emory University School Program Associate Professor, of Medicine Associate Professor, Emory University School Interests: food allergies, Emory University School of Medicine environmental allergies, of Medicine Interest: asthma, atopic dermatitis immunodeficiency Interests: asthma, atopic dermatitis, eosinophilic Merin Kalangara, MD Kristine disease, food allergies, Vanijcharoenkarn, MD Assistant Professor, general allergy and Emory University School Assistant Professor, immunology of Medicine Emory University School Interests: allergic rhinitis, of Medicine atopic dermatitis, drug Interests: food allergies, nasal polyps, allergy, eczema, sinusitis hives, angioedema, enviornmental allergies, Gerald Lee, MD asthma, drug allergies Assistant Professor, Emory University School of Medicine Interests: asthma, drug allergies, eczema, food allergies, hives
9 APNEA Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Children’s at Houston Mill (Wed) 1547 Clifton Road NE, First Floor Atlanta, GA 30322 All physicians
Physicians: Devon Greene, MD, Eric Price, MD Arlene Stecenko, MD MPH Assistant Professor, Chief, Pulmonology, Assistant Professor, Emory University School Allergy/Immunology, Emory University School of Medicine Cystic Fibrosis and Sleep of Medicine Marcus Professor, Pulmonology Lokesh Guglani, MD Samar Shah, MD Associate Professor, Assistant Professor, Medical Director, Apnea Emory University School of Medicine Emory University School Assistant Professor, of Medicine Emory University School of Medicine Snehal Vala, MD Assistant Professor, Ajay Kasi, MD Emory University School Sheel Shah, MD of Medicine Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine
Rachel Linnemann, MD Dawn Simon, MD Co-Director, Cystic Fibrosis Program Medical Director, Pulmonology, Allergy/ Director, Children’s and Immunology, Cystic Emory Cystic Fibrosis Fibrosis and Sleep Center Medical Director, Assistant Professor, Aerodigestive Center Emory University School of Medicine Associate Professor, Emory University School of Medicine
AUDIOLOGY 404-785-7174 404-785-7113
Our services are available at several neighborhood locations throughout metro Atlanta. These locations are departments of Children’s at Scottish Rite hospital. Visit choa.org for addresses and directions.
AUTISM AND RELATED DISORDERS 404-785-9400 404-785-9067
Marcus Autism Center 1920 Briarcliff Road Atlanta, GA 30329
• Applied behavior analysis therapy services • Learning and Language Program • Feeding Program • Psychiatry and medical/developmental pediatrics • Clinical assessment and diagnostics • Severe Behavior Program
Marcus Autism Center requires a provider referral for all new patients. To submit a referral, visit marcus.org/appointment and navigate to the “For Providers” section.
10 BEHAVIORAL HEALTH 404-785-DOCS (3627)
Behavioral Health Physician Advice Line Monday through Friday Noon to 4 p.m. This is a nonemergency phone service for providers seeking advice on behavioral and/or mental health issues affecting children and adolescents. Use this line to discuss de-identified behavior and mental health-related patient care questions.
CARDIAC Heart Center 800-542-2233 or 404-256-2593
Egleston hospital 1405 Clifton Road NE Atlanta, GA 30322
Specialty programs and clinics: • Fetal Cardiology Program • Preventive Cardiology Program • Aorta and Vascular Program • Heart Transplant Program • Project S.A.V.E. • Arrhythmia Program • Hypertrophic Cardiomyopathy • Pulmonary Hypertension Program • Cardiac Genetics Program Program • Ventricular Assist Device (VAD) • Congenital Heart Center of Georgia • Muscular Dystrophy Clinic Program • Neurodevelopmental Program
CARDIOLOGY Sibley Heart Center Cardiology 800-542-2233 OR 404-256-2593
Center for Advanced Pediatrics Columbus Marietta 1400 Tullie Road, Sixth Floor 705 17th St., Suite 406 355 Tower Road, Suite 204 Atlanta, GA 30329 Columbus, GA 31901 Marietta, GA 30060 Children’s at Hamilton Mill Cumming Newnan 2069 Teron Trace, Suite 300 2000 Howard Farm Drive, Suite 320 60 Oak Hill Blvd., Suite 102 Newnan, GA 30265 Dacula, GA 30019 Cumming, GA 30041 Rockdale Children’s at Old Milton Parkway Dalton 2135 Eastview Parkway, Suite 300 3300 Old Milton Parkway, Suite 100 1504 North Thornton Ave., Suite 105 Conyers, GA 30013 Alpharetta, GA 30005 Dalton, GA 30720 Stockbridge Medical Office Building at Gainesville 202 Village Center Parkway Scottish Rite hospital 200 South Enota Drive NE, Suite 400 Stockbridge, GA 30281 5461 Meridian Mark Road NE Gainesville, GA 30501 Thomasville Atlanta, GA 30342 Johns Creek 915 Gordon Ave. Albany 3890 Johns Creek Parkway, Suite 240 Thomasville, GA 31792 Suwanee, GA 30024 2709 Meredyth Drive, Suite 250 Valdosta Albany, GA 31707 Lawrenceville 2418 North Oak St. 738 Old Norcross Road, Suite 110 Athens Valdosta, GA 31602 Lawrenceville, GA 30046 1000 Hawthorne Ave., Suite S Villa Rica Athens, GA 30606 Macon 705 Dallas Highway, Suite 204 1062 Forsyth St., Suite 3A Villa Rica, GA 30180 Canton Macon, GA 31201 134 Riverstone Terrace, Suite 202 Canton, GA 30114
11 CARDIOTHORACIC SURGERY Children’s Physician Group 404-785-6330 404-785-6266
Egleston hospital (Mon, Tue, Wed, Fri) 1405 Clifton Road NE Atlanta, GA 30322
Physicians: Paul Chai, MD Joshua Rosenblum, MD, Fawwaz Shaw, MD Chief, Cardiothoracic PhD Surgical Director, Heart Surgery Assistant Professor, Transplant Co-Chief, Heart Center Emory University School Assistant Professor, Associate Professor, of Medicine Emory University School Emory University School Interests: neonatal, of Medicine of Medicine pediatric and adult Interests: neonatal Interests: congenital congenital cardiac heart surgery, advanced heart disease, heart surgery; connective tissue cardiac therapies, heart transplant, pediatric disease; heart transplant; transplant, emerging mechanical support mechanical support imaging technologies, systems mechanical circulatory Subhadra Shashidharan, support Kirk Kanter, MD MD Professor, Emory Assistant Professor, University School of Emory University School Medicine of Medicine Interest: congenital heart Interests: neonatal disease cardiac surgery, heart transplant, thoracic surgery
CHILD ADVOCACY Stephanie V. Blank Center for Safe and Healthy Children
Hughes Spalding hospital (Mon-Fri) Northside Professional Center (Mon-Fri) 35 Jessie Hill Jr. Drive SE 975 Johnson Ferry Road, Suite 350 Atlanta, GA 30303 Atlanta, GA 30342 Phone: 404-785-9930 Phone: 404-785-3820 Fax: 404-785-9783 Fax: 404-785-3850
A department of Children’s at Scottish Rite hospital
Physicians: Verena Brown, MD Stephen Messner, MD, FAAP Medical Director, Tamika Bryant, MD, FAAP Child Advocacy Center
Jordan Greenbaum, MD
CONCUSSION 404-785-DOCS (3627) 404-785-9111
Egleston hospital Scottish Rite hospital Center for Advanced Pediatrics 1405 Clifton Road NE 1001 Johnson Ferry Road NE 1400 Tullie Road NE Atlanta, GA 30322 Atlanta, GA 30342 Atlanta, GA 30329
12 CONCUSSION (CONTINUED)
Neurosurgeon: Sports medicine physicians: Neurologists: Andrew Reisner, MD Armand Scurfield, MD Barbara Weissman, MD Medical Director, Interests: nonoperative Medical Director, Concussion Program musculoskeletal Neurology Quality Medical Director, Neuro conditions, sports Associate Professor, Trauma and Concussion injuries, overuse injuries Emory University School Interests: brain tumors, and team sports, of Medicine concussions, Gamma concussion management Interests: knife radiosurgery, neurorehabilitation, hydrocephalus, pituitary J. Stephen Kroll, MD cerebral palsy, traumatic disorders and tumors Interests: nonoperative brain injury, concussion, musculoskeletal general pediatric Neuropsychologists: conditions, sports neurology injuries, overuse injuries Laura Blackwell, PhD, and team sports, ABPD Jasmine Forte, MD concussion management Interests: acquired brain Assistant Professor, injury, chronic pain, Emory University School Physiatrists: concussion, pediatric of Medicine Interests: general neuropsychology, Laura Jones, MD traumatic brain injury pediatric neurology, migraines, concussion, idiopathic intracranial Thomas Burns, PsyD, hypertension, sports ABPP neurology, tension-type Director, Concussion headaches Research Udayan Kulkarni, MD Interests: acquired brain injury, cerebral palsy, concussion, epilepsy, neuroimaging
Elyssa Gerst, PhD Elizabeth Poplawski, DO Interests: cognitive development in children with complex medical histories, impact of congenital or acquired neurological disorders on Joshua Vova, MD, FAAP, neuropsychological FAAPMR functioning Medical Director, Rehabilitation Jacqueline Kiefel, PhD Interests: concussion, Duchenne muscular dystrophy, neurofibromatosis, spina bifida, traumatic brain injury
Psychologist: Laura Wright, PhD Interests: pain assessment and treatment, chronic pain, promotion of resilience and adaptation among youth who experience pain
13 CYSTIC FIBROSIS Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Fri) 1400 Tullie Road NE, Fifth Floor Atlanta, GA 30329 All physicians
Physicians: Allan Dias, MD Kevin Kirchner, MD Julie Sedor, MD Medical Director, Co-Director, Pediatric Children’s Physician Cystic Fibrosis Program Group–Pulmonology at Scottish Rite
Lokesh Guglani, MD LaTresa Lang, MD Haitham Shahrour, MD Assistant Professor, Emory University School of Medicine
Matthew Hazen, MD Rachel Linnemann, MD Arlene Stecenko, MD Director, Asthma Center Director, Cystic Fibrosis Marcus Professor, Hughes Spalding hospital Center Pulmonology Co-Director, Pediatric Chief, Pulmonology, Cystic Fibrosis Program Allergy/Immunology, Assistant Professor, Cystic Fibrosis and Sleep Ajay Kasi, MD Emory University School Medical Director, Cystic Assistant Professor, of Medicine Fibrosis Center Emory University School Associate Professor, of Medicine Emory University School of Medicine
14 DEVELOPMENTAL PROGRESS Children’s Physician Group 404-778-1468 404-778-1467
Center for Advanced Pediatrics (Mon, Tue) This clinic provides neurodevelopmental follow-up evaluations for NICU graduates who 1400 Tullie Road NE, Second Floor are identified as being at an increased risk for long-term developmental problems due to Atlanta, GA 30329 preterm birth or complex medical conditions. Services are provided to children up to age 4.
Physicians: Psychologists: Salathiel Kendrick- Sheena Carter, PhD Traci Williams, PsyD Allwood, MD Assistant Professor, Assistant Professor, Associate Professor, Emory University School Emory University School Emory University School of Medicine of Medicine of Medicine
Sarah Rice, MD Amy Sanders, PsyD Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine
Hughes Spalding Clinic 404-778-1468 404-778-1467
Hughes Spalding hospital (Thu, Fri) 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303
DIABETES AND ENDOCRINOLOGY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Fri) Children’s at Meridian Mark (Mon-Fri) Children’s at Town Center 1400 Tullie Road NE, Third Floor 5445 Meridian Mark Road, Suite 420 Outpatient Care Center Atlanta, GA 30329 Atlanta, GA 30342 (Tue, Wed) 605 Big Shanty Road NW Clinics: bone, diabetes, endocrinology, lipid, Clinic: endocrinology Kennesaw, GA 30144 Turner syndrome Children’s at North Point (Thu, Fri) Drs. Baldwin, Golekoh Children’s at Forsyth (2nd and 4th Thu) 3795 Mansell Road In The Collection at Forsyth Alpharetta, GA 30022 410 Peachtree Parkway, Suite 300 Drs. Felner, Rappaport Cumming, GA 30041 Children’s at Satellite Boulevard Dr. Low (Wed, Thu, Fri) 2660 Satellite Blvd. Duluth, GA 30096 Drs. Anderson, Fadoul, George
15 DIABETES AND ENDOCRINOLOGY (CONTINUED)
Shruthi Arora, MD Doris Fadoju, MD Andrew Muir, MD Associate Professor, Assistant Professor, Marcus Professor, Emory University School Emory University School Endocrinology of Medicine of Medicine Medical Director, Interests: thyroid cancer Interests: obesity, puberty Endocrinology and thyroid nodules, Professor, Emory diabetes technology, Hiba Fadoul, MD University School diabetes, general of Medicine endocrinology Leonidas Brooke Anderson, MD Panagiotakopoulos, MD Assistant Professor, Eric Felner, MD Emory University School Professor, Emory of Medicine University School of Medicine Briana Patterson, MD Stephen Anderson, MD Associate Professor, Emory University School Sobenna George, MD of Medicine Assistant Professor, Interests: adrenal Emory University School insufficiency, cancer of Medicine Constance Baldwin, MD late effects, disorders of sexual development, Marjorie Golekoh, MD neuroendocrinology
Mark Rappaport, MD, PhD
Kristina Cossen, MD Assistant Professor, Karen Loechner, MD, Emory University School PhD of Medicine Associate Professor, Malinda Wu, MD Emory University School Associate Professor, of Medicine Emory University School Tanicia Daley, MD of Medicine Joey Low, MD Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine
Diabetes Education Program
Egleston hospital Scottish Rite hospital 1405 Clifton Road NE 1001 Johnson Ferry Road NE Atlanta, GA 30322 Atlanta, GA 30342 404-785-1724 404-785-4841
16 FETAL CARE CENTER 404-785-3916 404-785-1526
Egleston hospital Scottish Rite hospital 1405 Clifton Road NE 1001 Johnson Ferry Road NE Atlanta, GA 30322 Atlanta, GA 30342
GASTROENTEROLOGY AND HEPATOLOGY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Fri) Children’s at Town Center Outpatient Marcus Autism Center (Wed) 1400 Tullie Road NE Care Center (1st, 3rd and 5th Thu) 1920 Briarcliff Road 605 Big Shanty Road NW, Second Floor Atlanta, GA 30329 Atlanta, GA 30329 Clinics: aerodigestive, eosinophilic esophagitis Kennesaw, GA 30144 Clinics: general GI, autism research (EoE), general GI, hepatology, IBD, intestinal Clinic: general GI Dr. McElhanon rehab, feeding, pancreas Drs. Bashaw, Lopez Drs. Bashaw, Berauer, Freeman, Gupta, Athens (2nd Thu) Karpen, Kruszewski, Kugathasan, Lopez, Egleston hospital (on the St. Mary’s Hospital campus) McElhanon, Niklinska-Schirtz, Patel, Romero, 1405 Clifton Road NE 1230 Baxter St. Sauer, Schoen, Soler-Rodriguez, Tenjarla, Vos Atlanta, GA 30322 Services: ERCP, procedures Athens, GA 30606 Children’s at Satellite Boulevard Clinic: general GI (Mon, Thu) Emory Children’s Center Building Dr. Kruszewski 2660 Satellite Blvd. (Wed, Thu, Fri) Duluth, GA 30096 2015 Uppergate Drive NE Clinics: general GI, hepatology Atlanta, GA 30322 Drs. Berauer, Kruszewski, Patel, Clinic: liver transplant Soler-Rodriguez, Vos Drs. Berauer, Freeman, Gupta, Karpen, Romero, Soler-Rodriguez, Vos
Physicians: Hillary Bashaw, MD Nitika Gupta, MD, DCH, Patrice Kruszewski, DO Assistant Professor, DNB, MRCPCH Assistant Professor, Emory University School Director, Liver Transplant Emory University School of Medicine Adolescent Transition of Medicine Interests: nutrition, Program Interests: EoE, IBD pancreatic disorders Professor, Emory University School Subra Kugathasan, MD John-Paul Berauer, MD of Medicine Scientific Director, IBD Director, Intestinal Rehab Interests: liver disease, Marcus Professor, Program pre- and post-transplant Emory University School Assistant Professor, care of Medicine Emory University School Interest: IBD of Medicine Saul Karpen, MD, PhD Interests: liver diseases, Division Chief Chrissy Lopez, MD short bowel syndrome Raymond F. Schinazi Assistant Professor, Distinguished Biomedical Emory University School A. Jay Freeman, MD, MSc Chair of Medicine Director, Advanced Professor, Emory Interests: liver and GI Pancreatic Care Program University School diseases, transplant Director of Digestive of Medicine hepatology Health, CF Program Interests: liver diseases, Assistant Professor, pre- and post-liver Emory University School transplant care of Medicine Interests: GI manifestations of CF, liver diseases, disorders of the pancreas and pancreatitis 17 GASTROENTEROLOGY AND HEPATOLOGY (CONTINUED)
Barbara McElhanon, MD Cary Sauer, MD, MSc Field Willingham, MD, Medical Director, Medical Director, MPH, FASGE Feeding Program, Endoscopy Program Medical Director, Marcus Autism Center System Medical Director, Therapeutic Endoscopy and ERCP Associate Professor, Gastroenterology, Associate Professor, Emory University School Hepatology and Nutrition Emory University School of Medicine Associate Professor, of Medicine Interests: GI issues, Emory University School Interests: interventional feeding, aerodigestive of Medicine and advanced endoscopy disorders, autism Interests: IBD, GI issues spectrum disorder Pyschologists: Bess Schoen, MD Jessica Buzenski, PhD Joanna Niklinska- Medical Director, Pediatric Psychologist, Schirtz, MD ImproveCareNow Gastroenterology Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine Interests: IBD, nutrition, Interests: IBD, GI issues Gloria Chiang, PhD celiac disease Dellys Soler-Rodriguez, Pediatric Psychologist, Sonal Patel, MD MD Hepatology Assistant Professor, Program Director, Transplant Hepatology Emory University School Assistant Professor, of Medicine Emory University School Bonney Reed, PhD Interests: IBD, enteral of Medicine Pediatric Psychologist, feeding, nutrition Interests: portal Gastroenterology hypertension, metabolic Rene Romero, MD liver disease, biliary Medical Director, atresia, post-transplant Transplant medical issues
Clinical Director, Gayathri Tenjarla, MD Pediatric Hepatology Assistant Professor, Professor, Emory Emory University School University School of of Medicine Medicine Interests: EoE, GI issues Interests: liver diseases, short bowel syndrome, Miriam Vos, MD, MSPH pre- and post-liver Director, Nonalcoholic transplant care Fatty Liver Disease Program Program Director, Transplant Wellness Associate Professor, Emory University School of Medicine Interests: liver diseases, pre- and post-liver transplant care
Fecal microbiota transplant 404-785-DOCS (3627) 404-785-9111
Scottish Rite hospital 1001 Johnson Ferry Road NE Atlanta, GA 30342
18 GENERAL SURGERY Children’s Physician Group 404-785-8787 (Egleston-based) 404-785-8788 (Egleston-based)
Children’s Physician Group 404-785-6895 (Scottish Rite-based) 404-785-6896 (Scottish Rite-based)
Center for Advanced Pediatrics (Mon-Fri) Children’s at Forsyth (Thu) Medical Office Building at 1400 Tullie Road NE, First Floor In The Collection at Forsyth Scottish Rite hospital (Mon-Fri) Atlanta, GA 30329 410 Peachtree Parkway 5461 Meridian Mark Road NE Egleston-based physicians Cumming, GA 30041 Suite 570 Drs. Norelius, Raschbaum Atlanta, GA 30342 Children’s at Cherokee (every other Wed) Scottish Rite-based physicians 1558 Riverstone Parkway, Suite 100 Children’s at Satellite Boulevard Canton, GA 30114 (Mon, Tue, Wed, Fri) Athens (2nd and 4th Wed) Dr. Bussey 2660 Satellite Blvd. 1000 Hawthorne Ave., Suite S Duluth, GA 30096 Athens, GA 30606 Children’s at Fayette (1st and 3rd Mon) Drs. Bhatia, Chahine, Clifton, Glasson, Dr. Clifton In Piedmont Fayette hospital Linden, Meisel, Santore, Smith 1265 Highway 54 West, Suite 200 Columbus (2nd and 3rd Wed) Fayetteville, GA 30214 Children’s at Town Center 705 17th St., Suite 406 Dr. Bhatia Outpatient Care Center (Thu) Columbus, GA 31901 605 Big Shanty Road NW Drs. Chahine, Santore Kennesaw, GA 30144 Drs. Bansal, Bleacher, Meisel
Egleston-based surgeons: Amina Bhatia, MD, MS, Megan Durham, MD, FACS Jonathan Meisel, MD, FACS, FAAP Practice Director, FACS, FAAP Medical Director, Trauma Children’s Physician Assistant Professor, Services, Egleston Group–Pediatric Surgery Emory University School Interests: Hirschsprung Medical Director, Pelvic of Medicine and Anorectal Care disease, minimally Interests: colorectal invasive surgery, neonatal Surgical Director, surgery, surgical Intestinal Rehab surgery and prenatal oncology, pectus consults, patent ductus Associate Professor, excavatum, IBD, Emory University School ligation, pectus repair, congenital anomalies, of Medicine thoracic and trauma minimally invasive Interests: congenital surgery surgery, neonatal surgery, anomalies, noncardiac prenatal consults thoracic surgery and A. Alfred Chahine, MD, neonatal surgery, FACS, FAAP intestinal failure, Paul Parker, MD, FACS, Associate Professor, anorectal malformations, FAAP Emory University School Hirschsprung disease, Interests: appendicitis, of Medicine surgical oncology hernias, pectus deformities, minimally Matthew Clifton, MD, Allison Linden, MD invasive surgery, thoracic FACS, FAAP Medical Director, NICU surgery, newborn surgery, Chief, General Surgery and PICU prenatal consults, trauma, Associate Professor, Assistant Professor, adolescent surgery Emory University School Emory University School of Medicine of Medicine Interests: neonatal Interests: hepatobiliary surgery, minimally surgery, minimally invasive surgery, surgical invasive surgery, prenatal critical care, ECMO, consultation and global surgery newborn surgery, surgical oncology 19 GENERAL SURGERY (CONTINUED)
Matthew Santore, MD, Joseph Bussey, MD, George Raschbaum, FACS, FAAP FACS, FAAP MD, FACS, FAAP Medical Director, Surgical Interests: abdominal Quality wall defects, anorectal Surgical Director malformations, pectus Assistant Professor, repair, Hirschsprung Emory University School disease, GE reflux- Alexis Smith, MD of Medicine fundoplication, minimally Interests: ECMO Interests: ECMO, invasive surgery, neonatal management, surgical minimally invasive and pediatric surgery, education, minimally surgery and single-site prenatal consults invasive surgery, pediatric laparoscopic surgery, trauma neonatal surgery, Julie Glasson, MD, prenatal consults, FACS, FAAP endocrine surgery, Interests: Hirschsprung thyroid surgery, surgical disease, IBD, adnexal oncology, trauma surgery, pathology, neonatal thoracic surgery, IBD, intestinal anomalies and cystic lung disease abdominal wall defects, necrotizing enterocolitis, Scottish Rite-based surgeons: ovarian pathology, Samiksha Bansal, MD hepatic and pediatric Interests: tumors, trauma surgery, gastroesophageal reflux endocrine surgery, disease, minimally pancreatic surgery, invasive surgery, patent ductus ligation thoracoscopic surgery Rona Norelius, MD, John Bleacher, MD, FACS, FAAP FACS, FAAP Interests: branchial clefts, Medical Director, Trauma chest wall deformities, Services, Scottish Rite chest masses, neonatal Interests: abdominal congenital deformities, wall defects, anorectal inguinal hernias, malformations, pectus undescended testicles, repair, Hirschsprung pediatric cancer disease, GE reflux- fundoplication, minimally invasive surgery, neonatal and pediatric surgery, prenatal consultations
GENETICS 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics Judson L. Hawk Jr., MD, Clinic for Children 1400 Tullie Road NE, Sixth Floor Atlanta, GA 30329
A department of Children’s at Scottish Rite hospital
20 GYNECOLOGY Children’s Physician Group 404-785-1491 404-785-8788
Center for Advanced Pediatrics Medical Office Building at (Mon, Wed) Scottish Rite hospital (Fri) 1400 Tullie Road NE, First Floor 5461 Meridian Mark Road NE, Suite 570 Atlanta, GA 30329 Atlanta, GA 30342
Physicians: Krista Childress, MD Nancy Sokkary, MD Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine Interests: congenital Interests: abnormal anomalies of the menses and puberty, reproductive tract, complex contraception, fertility preservation, ovarian masses, pre- menstrual problems, pubertal vaginitis ovarian masses, puberty abnormalities
HEMATOLOGY/ONCOLOGY
Aflac Cancer and Blood Disorders Center 404-785-1112 or 888-785-1112 404-785-9111
Egleston hospital Scottish Rite hospital Medical Office Building at 1405 Clifton Road NE 1001 Johnson Ferry Road NE Scottish Rite hospital (Mon-Fri) Atlanta, GA 30322 Atlanta, GA 30342 5461 Meridian Mark Road Inpatient and outpatient: cancer, blood Inpatient: cancer, blood disorders Atlanta, GA 30342 disorders, blood and marrow transplant (BMT) A department of Children’s at Scottish Rite hospital Hughes Spalding hospital Day Hospital at Scottish Rite hospital Outpatient: cancer, blood disorders 35 Jesse Hill Jr. Drive SE, Second Floor (Mon-Fri) th th Atlanta, GA 30303 1001 Johnson Ferry Road NE, Fifth Floor Columbus Clinic (4 and 5 Wed) 705 17th St., Suite 406 Outpatient: blood disorders, transfusion Atlanta, GA 30342 Columbus, GA 31901 services Outpatient: cancer, blood disorders, infusion services Outpatient: sickle cell
BMT physicians:
Shanmuganathan Lakshmanan Muna Qayed, MD, Chandrakasan, MD Krishnamurti, MD MSCR Medical Director, Immune Professor, Emory Program Director, BMT Dysregulation University School Associate Professor, Assistant Professor, of Medicine Emory University Emory University School of Medicine School of Medicine Kathryn Leung, MD, FAAP Michelle Schoettler, MD Ann Haight, MD Clinical Director, BMT Assistant Professor, Associate Professor, Associate Professor, Emory University Emory University Emory University School School of Medicine School of Medicine of Medicine
Suhag Parikh, MD Benjamin Watkins, MD Edwin Horwitz, MD, PhD Associate Professor, Assistant Professor, Professor, Emory Emory University Emory University University School School of Medicine School of Medicine of Medicine 21 HEMATOLOGY/ONCOLOGY (CONTINUED)
Kirsten Williams, MD Anna Kenney, PhD Cancer predisposition physicians: Associate Professor, Associate Professor, Sarah Mitchell, MD Emory University School Emory University School of Medicine Assistant Professor, of Medicine Emory University School of Medicine
Tobey MacDonald, MD Bone marrow failure physician: Program Director, Christopher Porter, MD Staci Arnold, MD, Neuro-Oncology MPH, MBA Research Director Professor, Emory Program Medical Associate Professor, University School Director, General Emory University School Hematology of Medicine of Medicine Assistant Professor, Emory University School Sarah Mitchell, MD of Medicine Assistant Professor, Cancer survivorship physicians: Emory University School Cancer precision medicine physicians: Karen Effinger, MD, MS of Medicine Clinical Operations Thomas Cash, MD, MSc Clinical Director, Solid Director, Cancer Tumor Program Survivorship Assistant Professor, Melinda Pauly, MD Assistant Professor, Emory University Medical Director, Aflac Emory University School School of Medicine Cancer and Blood of Medicine Disorders Center at R. Craig Castellino, MD Scottish Rite Hospital Jordan Marchak, PhD, Associate Professor, ABPP Emory University School Assistant Professor, of Medicine Emory University Associate Professor, School of Medicine Emory University School of Medicine Christopher Porter, MD Sharon Castellino, Research Director Lillian Meacham, MD MD, MSc Program Director, Program Director, Associate Professor, Fertility Preservation Leukemia and Emory University Lymphoma School of Medicine Professor, Emory Associate Professor, University School Emory University of Medicine School of Medicine Himalee Sabnis, MD, MSc Briana Patterson, MD, Jason Fangusaro, MD Assistant Professor, MSc Program Director, Emory University School Developmental Associate Professor, of Medicine Therapeutics Emory University School Associate Professor, of Medicine Emory University School Daniel Wechsler, MD, of Medicine PhD Program Director, Developmental therapeutics Kelly Goldsmith, MD Oncology physicians: Clinical Director, Precision Medicine Co-Director, Precision Dolly Aguilera, MD Program Medicine Program Assistant Professor, Associate Professor, Co-Director, Fellowship Emory University School Emory University Program of Medicine School of Medicine Professor, Emory Douglas Graham, University School Thomas Cash, MD, MSc MD, PhD of Medicine Chief, Aflac Cancer and Clinical Director, Solid Blood Disorders Center Tumor Program Co-Director, Precision Assistant Professor, Medicine Program Emory University School Professor, Emory of Medicine University School of Medicine 22 HEMATOLOGY/ONCOLOGY (CONTINUED)
R. Craig Castellino, MD Carolyn Bennett, MD, Hemostasis and thrombosis physicians: Associate Professor, MSCR Glaivy Batsuli, MD Emory University School Assistant Professor, Assistant Professor, of Medicine Emory University School Emory University School of Medicine of Medicine
Jason Fangusaro, MD Jeanne Boudreaux, MD Program Director, Clinical Director, General Carolyn Bennett, MD, Developmental Hematology MSCR Therapeutics Associate Professor, Assistant Professor, Associate Professor, Emory University School Emory University School Emory University of Medicine of Medicine School of Medicine Michael Briones, DO Megan Brown, MD Kelly Goldsmith, MD Medical Director, Aflac Director, Young Women’s Clinical Director, Precision Cancer and Blood Bleeding Clinic Medicine Program Disorders Center Senior Clinic Associate, Associate Professor, at Egelston Hospital Emory University School Emory University School Associate Professor, of Medicine of Medicine Emory University School of Medicine Shannon Meeks, MD Tobey MacDonald, MD Program Director, Program Director, Shanmuganathan Hemostasis/Thrombrosis Neuro-Oncology Chandrakasan, MD Program Professor, Emory Medical Director, Associate Professor, University School Immune Dysregulation Emory University School of Medicine Assistant Professor, of Medicine Emory University School of Medicine Melinda Pauly, MD Robert Sidonio Jr., Medical Director, Aflac Satheesh Chonat, MD MD, MSc Cancer and Blood Assistant Professor, Medical Director, Disorders Center at Emory University School Hemostasis Scottish Rite Hospital of Medicine Assistant Professor, Assistant Professor, Emory University School Emory University of Medicine School of Medicine Wilbur Lam, MD, PhD Michael White, MD Chief Innovation Assistant Professor, Himalee Sabnis, Officer, Pediatric Emory University MD, MSc Technology Center Assistant Professor, School of Medicine Associate Professor, Emory University Emory University School of Medicine School of Medicine Gary Woods, MD Marianne Yee, MD, MSc Medical Director, General hematology physicians: Assistant Professor, Thrombosis Staci Arnold, MD, MPH, Emory University School Assistant Professor, MBA of Medicine Emory University Program Medical Director, School of Medicine General Hematology Karen Zimowski, MD Assistant Professor, Emory Assistant Professor, University School of Emory University Medicine School of Medicine
Glaivy Batsuli, MD Assistant Professor, Emory University School of Medicine 23 HEMATOLOGY/ONCOLOGY (CONTINUED)
Immune dysregulation physician: Tamara Miller, MD, Anna Janss, MD, PhD Shanmuganathan MSCE Clinical Director, Chandrakasan, MD Assistant Professor, Neuro-Oncology Clinical Director, Immune Emory University School Associate Professor, Dysregulation of Medicine Emory University School Assistant Professor, of Medicine Emory University Melinda Pauly, MD Tobey MacDonald, MD School of Medicine Medical Director, Aflac Program Director, Cancer and Blood Neuro-Oncology Leukemia and lymphoma physicians: Disorders Center at Professor, Emory Scottish Rite Hospital Waitman Aumann, University School MD, MS Assistant Professor, of Medicine Assistant Professor, Emory University School Emory University of Medicine Claire Mazewski, MD School of Medicine Christopher Porter, MD Associate Professor, John Bergsagel, MD Director, Cancer Emory University School Assistant Professor, Predisposition of Medicine Emory University Associate Professor, School of Medicine Emory University School Sickle cell disease physicians: of Medicine Nitya Bakshi, MD Sharon Castellino, Sunil Rakar, MD Assistant Professor, MD, MSc Assistant Professor, Emory University School Program Medical Emory University School of Medicine Director, Leukemia of Medicine and Lymphoma Associate Professor, R. Clark Brown, Emory University Himalee Sabnis, MD, MD, PhD School of Medicine MSc Assistant Professor, Director, Sickle Cell Kavita Dhodapkar, MD Emory University School Disease Research Associate Professor, of Medicine Associate Professor, Emory University Emory University School School of Medicine Daniel Wechsler, MD, of Medicine PhD Carlton Dampier, MD Program Director, Professor, Emory Douglas Graham, Oncology University School MD, PhD Co-Director, Precision of Medicine Chief, Aflac Cancer and Medicine Program Blood Disorders Center Co-Director, Fellowship Co-Director, Precision Program Medicine Program Beatrice Gee, MD Assistant Professor, Clinical Director, Sickle Professor, Emory Emory University School Cell Disease, System University School of of Medicine and Hughes Spalding Medicine Hospital Neuro-oncology physicians: Frank Keller, MD Professor, Emory Associate Professor, Dolly Aguilera, MD University School Emory University School Assistant Professor, of Medicine of Medicine Emory University School of Medicine Angelica James-Herry, MD Glen Lew, MD Assistant Professor, Associate Program R. Craig Castellino, MD Emory University School Director, Fellowship Associate Professor, of Medicine Associate Professor, Emory University School Emory University School of Medicine of Medicine 24 HEMATOLOGY/ONCOLOGY (CONTINUED)
Clinton Joiner, MD, PhD Marianne Yee, MD, MSc Kathryn Sutton, MD Director, Hematology Clinical Director, Program Director, Professor, Emory Sickle Cell Disease Fellowship Program University School Assistant Professor, Assistant Professor, of Medicine Emory University Emory University School School of Medicine of Medicine Peter Lane, MD Karen Wasilewski- Program Director, Solid tumor physicians: Sickle Cell Disease Masker, MD, MSc Professor, Emory Thomas Cash, MD, MSc Medical Director, Aflac University School Clinical Director, Solid Cancer and Blood of Medicine Tumor Program Disorders Center Assistant Professor, Associate Professor, Emory University School Wilbur Lam, MD, PhD Emory University School of Medicine Chief Innovation of Medicine Officer, Pediatric Bradley George, MD Transfusion medicine physician: Technology Center Assistant Professor, Cassandra Josephson, Associate Professor, Emory University School MD Emory University of Medicine School of Medicine Professor, Emory University School of Medicine Tamara New, MD Kelly Goldsmith, MD Medical Director, Sickle Clinical Director, Cell Disease at Egleston Precision Medicine Palliative care: Hospital Program Katharine Brock, MD, MS Associate Professor, Associate Professor, Assistant Professor, Emory University Emory University School Emory University School School of Medicine of Medicine of Medicine Elna Saah, MD Andrew Hong, MD Assistant Professor, Assistant Professor, Emory University Emory University School School of Medicine of Medicine
Vivien Sheehan, MD Sarah Mitchell, MD Acting Associate Assistant Professor, Professor, Emory Emory University School University School of Medicine of Medicine
Amy Tang, MD Thomas Olson, MD Medical Director, Sickle Program Director, Solid Cell Disease at Scottish Tumor Program Rite Hospital Professor, Emory Assistant Professor, University School Emory University School of Medicine of Medicine
25 INFECTIOUS DISEASES Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Thu) * The vaccine clinic provides revaccination 1400 Tullie Road NE, Second Floor for children following a transplant or Atlanta, GA 30329 treatment that suppresses the immune system. It does not provide the COVID-19 Clinics: general infectious diseases, general vaccine for this population at this time vaccine clinic (1st, 2nd and 4th Mon)* (As of May 2021). Drs. Berkowitz, Fox, Goggin, Jaggi, Linam, Shane
Physicians: Evan Anderson, MD Thomas Fox, MD Matthew Linam, MD, MS Associate Professor, Assistant Professor, Emory Medical Director, Emory University School University School of Outcomes and Analytics of Medicine Medicine Associate Professor, Emory University School of Medicine Frank Berkowitz, Kathryn Goggin, MD MBBCh, MPH Associate Professor, Christina Rostad, MD Professor, Emory Emory University School Assistant Professor, Emory University School of of Medicine University School of Medicine Interests: infections in Medicine immunocompromised Andres Camacho- children, transplant Gonzales, MD infectious diseases, long- Andrea Shane, MD, Assistant Professor, term effects of sepsis and MPH, MSc Emory University School zoonotic infections Marcus Professor, of Medicine Epidemiology Cassie Grimsley Chief, Infectious Diseases Ann Chahroudi, MD, Ackerley, MD Associate Professor, PhD Associate Professor, Emory University School Associate Professor, Emory University School of Medicine Emory University School of Medicine of Medicine Preeti Jaggi, MD Lisa Cranmer, MD, MPH Associate Professor, Assistant Professor, Emory Emory University School University School of of Medicine Medicine
26 INTERVENTIONAL RADIOLOGY Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Wed-Fri) Egleston hospital Scottish Rite hospital 1400 Tullie Road NE, Sixth Floor 1405 Clifton Road NE 1001 Johnson Ferry Road NE Atlanta, GA 30329 Atlanta, GA 30322 Atlanta, GA 30342
Physicians: Anne Gill, MD C. Matthew Hawkins, MD Jay Shah, MD Assistant Professor, Director, Pediatric Assistant Professor, Emory University School Interventional Radiology Emory University School of Medicine Medical Director, Vascular of Medicine Anomalies Clinic Associate Professor, Darshan Variyam, MD Emory University School Assistant Professor, of Medicine Emory University School of Medicine
LAB
Egleston hospital 404-785-6415 404-785-6258 1405 Clifton Road NE (outpatient collection) Atlanta, GA 30322 Outpatient collection: Mon-Fri, 8 am. to 8 p.m.
Scottish Rite hospital 404-785-2039 404-785-4542 1001 Johnson Ferry Road NE (outpatient collection) Atlanta, GA 30342 Outpatient collection: Mon-Fri, 8 a.m. to 8 p.m.
Children’s at Satellite Boulevard 404-785-8465 404-785-8642 2660 Satellite Blvd. Duluth, GA 30096 Outpatient collection: Mon-Fri, 8 a.m. to 6 p.m.
Children’s at Town Center 404-785-9738 404-785-9774 625 Big Shanty Road NW Kennesaw, GA 30144 Outpatient collection: Mon-Fri, 7 a.m. to 7 p.m., Sat, 7 a.m. to 2 p.m. Pertussis swabs and catheterized urine collections for Children’s-ordered cultures only. Collections can be performed by nursing at this location on Mondays, Wednesdays and Fridays between 1 p.m. and 4 p.m.
Children’s at Webb Bridge 404-785-8154 404-785-8468 3155 North Point Parkway, Building A Alpharetta, GA 30005 Outpatient collection: Mon-Fri, 7 a.m. to 7 p.m., Sat, 7 a.m. to 2 p.m.
Pertussis swabs and catheterized urine collections for Children’s-ordered cultures only. Collections can be performed by nursing at this location on Mondays, Wednesdays and Fridays between 1 p.m. and 4 p.m.
27 NEPHROLOGY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Fri) Children’s at Town Center Outpatient Athens 1400 Tullie Road NE, Second Floor Care Center (2nd and 4th Mon) On the St. Mary’s Hospital campus Atlanta, GA 30329 605 Big Shanty Road NW 1230 Baxter St. Clinics: general nephrology, hypertension Kennesaw, GA 30144 Athens, GA 30606 All physicians Phone: 706-543-0706 Clinics: general nephrology, Clinics: general nephrology, Children’s at North Point (Tue) hypertension 3795 Mansell Road hypertension Drs. George, Kennedy Alpharetta, GA 30022 Dr. Greenbaum Clinics: general nephrology, hypertension Emory Children’s Center Building Drs. Batisky, Shin (Mon-Fri) 2015 Uppergate Drive NE Children’s at Satellite Boulevard 2660 Satellite Blvd. Atlanta, GA 30322 Duluth, GA 30096 Clinics: chronic kidney disease, kidney transplant Clinics: general nephrology, hypertension Dr. Londeree
Physicians: Donald Batisky, MD Stephanie Jernigan, MD H. Stella Shin, MD Medical Director, Chief, Medicine Medical Director, Pediatric Hypertension General Nephrology Program Medical Director of Operations, Professor, Emory Medical Director, Acute Egleston Hospital University School Kidney Replacement of Medicine Associate Professor, Therapy Interest: hypertension Emory University School of Medicine Assistant Professor, Emory University School Rouba Garro, MD Interests: pediatric kidney disease, dialysis of Medicine Medical Director, Kidney Interests: acute kidney Transplant Sabina Kennedy, MD Associate Professor, injury, chronic kidney Medical Director, Chronic Emory University School diesease, dialysis of Medicine Kidney Disease Quality Improvement Interests: general Chia-shi Wang, MD Assistant Professor, nephrology, kidney Assistant Professor, transplant Emory University School of Medicine Emory University School of Medicine Roshan George, MD Interests: general Interests: general Medical Director, Kidney nephrology, chronic Transplant Transition kidney disease, dialysis nephrology, nephrotic Program syndrome Jackson Londeree, DO Associate Professor, Emory University School Assistant Professor, Barry Warshaw, MD of Medicine Emory University School Professor, Emory Interests: general of Medicine University School nephrology, kidney Interests: nephrotic of Medicine transplant syndrome, kidney transplant and Interests: kidney Larry Greenbaum, MD, immunosuppression, transplant PhD dialysis, medical Medical Director, education Pamela Winterberg, MD Nephrology Assistant Professor, Loretta Reyes, MD Executive Director, Emory University School Children’s Physician Group Assistant Professor, of Medicine Marcus Professor, Emory Emory University School Interests: general University School of of Medicine Medicine nephrology, kidney Interests: general Interests: atypical HUS, nephrology, kidney transplant, transplant cystinosis, nephrotic transplant immunology 28 syndrome NEUROLOGY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Egleston hospital Scottish Rite hospital Northside Professional Center 1405 Clifton Road NE 1001 Johnson Ferry Road NE (Mon-Fri) Atlanta, GA 30322 Atlanta, GA 30342 975 Johnson Ferry Road, Suite 340 Atlanta, GA 30042 Service: Epilepsy Center Specialty clinics: epilepsy, infantile Hughes Spalding hospital (Wed p.m.) Center for Advanced Pediatrics spasms, ketogenic diet, new-onset 35 Jesse Hill Jr. Drive SE (Mon-Fri) seizure, vagus nerve stimulation Atlanta, GA 30303 1400 Tullie Road NE, Fourth Floor Drs. Al-Ramadhani, Elkay, Zhang Multiple physicians Atlanta, GA 30329 Athens–St. Mary’s Specialty clinics: cerebrovascular disorders, (4th Tue and 2nd Wed) Children’s at Forsyth (1st, 3rd and 5th Thu) complex headache, concussion, cerebral On the St. Mary’s Hospital campus In The Collection at Forsyth palsy, developmental neurology, epilepsy, 1230 Baxter St. epilepsy surgery, infantile spasms, ketogenic 140 Peachtree Parkway, Suite 300 Athens, GA 30606 Cumming, GA 30041 diet, leukodystrophy, movement disorder, Dr. Weissman Dr. Keller neonatal, neuroimmunology, neuro metabolic, new-onset seizure Drs. Bhalla, Dutt, Eksioglu, Forte, Gedela, Gombolay, Hallman-Cooper, Holt, Keller, Kheder, Malik, Ortolani, Philbrook, Tutmaher, Upadhyayula, Verma, Weissman, Wolf, Zhang
Physicians: Ruba Al-Ramadhani, MD Muruvet Elkay, MD Grace Gombolay, MD Assistant Professor, Assistant Professor, Assistant Professor, Emory University School Emory University School Emory University School of Medicine of Medicine of Medicine Interests: Interests: neonatal neuroimmunology, multiple EEG, neonatal seizures, sclerosis, neuromyelitis Sonam Bhalla, MD childhood epilepsy optica, clinically isolated syndrome, Assistant Professor, syndromes, epilepsy transverse myelitis, Emory University School surgery, treatment acute disseminated of Medicine options for medically encephalomyelitis (ADEM), difficult-to-treat epilepsy anti-NMDA receptor encephalitis
Monideep Dutt, MD Jasmine Forte, MD Jamika Hallman-Cooper, Assistant Professor, Assistant Professor, MD Emory University School Emory University School Assistant Professor, of Medicine of Medicine Emory University School Interests: general Interests: general of Medicine pediatric neurology, pediatric neurology, Interests: cerebral palsy, pediatric stroke, neonatal neurology migraines, concussion, idiopathic intracranial Botox, general pediatric hypertension, sports neurology Yaman Eksioglu, MD, PhD neurology, tension-type Director, Comprehensive Philip Holt, MD headaches Epilepsy Center Medical Director, Intraoperative Associate Professor, Satyanarayana Gedela, Neuromonitoring Emory University School MD Assistant Professor, of Medicine Chief, Neurology Emory University School Interests: surgical epilepsy, Practice Director, of Medicine intractable epilepsy Children’s Physician Interests: childhood syndromes, cortical Group–Neurology epilepsy, ketogenic diet therapy, intraoperative malformations of cerebral Associate Professor, and intensive care, Emory University School cortex, tuberous sclerosis general pediatric complex, genetic epilepsy of Medicine neurology, autonomic syndromes, epileptic Interests: epilepsy, seizures disorders encephalopathies 29 NEUROLOGY (CONTINUED)
Stephanie Keller, MD Bryan Philbrook, MD Barbara Weissman, MD Associate Professor, Medical Director, Medical Director, Emory University School Cerebrovascular Services Neurology Quality of Medicine Assistant Professor, Associate Professor, Interests: neurogenetic Emory University School Emory University School of Medicine and neurometabolic of Medicine disorders, Interests: stroke, Interests: leukodystrophies, neurocritical care, epilepsy, demyelinating diseases, EEG, evoked potential neurorehabilitation, general pediatric studies cerebral palsy, traumatic neurology brain injury, concussion, Saila Upadhyayula, MD, general pediatric Emily Kern-Smith, MD MPH neurology Assistant Professor, Assistant Professor, David Wolf, MD, PhD Emory University School Emory University School Assistant Professor, of Medicine of Medicine Interests: pediatric Emory University School neuromuscular disorders, of Medicine Ammar Kheder, MD EMG and nerve Interests: neuro-oncology, Medical Director, Epilepsy conduction studies, neurofibromatosis Type 1, muscular dystrophy, Surgery and Stereo EEG neurocutaneous disorders, general pediatric Assistant Professor, Emory tuberous sclerosis, general University School of neurology pediatric neurology Medicine Sumit Verma, MD Interests: epilepsy, Guojun Zhang, MD epilepsy surgery, EEG, first Medical Director, Assistant Professor, seizure evaluation Neuromuscular Assistant Professor, Emory University School Manisha Malik, MD Emory University School of Medicine Assistant Professor, Emory of Medicine University School of Interests: pediatric Medicine neuromuscular Interests: hypersomnia, disorders, EMG and New physician: circadian rhythm disorders, EEG, myasthenia gravis, Michelle Tutmaher, DO insomnia muscular dystrophy, Assistant Professor, general pediatric Emory University School Elissa Ortolani, MD neurology of Medicine Assistant Professor, Emory University School of Medicine
NEUROPHYSIOLOGY
Children’s Physician Group 404-785-2046 404-785-2204
Center for Advanced Pediatrics Egleston hospital 1400 Tullie Road NE, Fourth Floor 1405 Clifton Road NE Atlanta, GA 30329 Atlanta, GA 30322 Services: EEG, EMG Scottish Rite hospital A department of Scottish Rite hospital 1001 Johnson Ferry Road NE Atlanta, GA 30342
30 NEUROPSYCHOLOGY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Fri) Medical Office Building at Scottish 1400 Tullie Road NE, Fourth Floor Rite hospital (Mon-Fri) Atlanta, GA 30329 5461 Meridian Mark Road NE, Suite 180 Atlanta, GA 30342 Drs. Alexander, Bearden, Gerst, Ilardi, Marcus, Drs. Blackwell, Burns, Fournier- McManus Lee, O’Toole, Wright Goodnight, Fritz, Howarth, Kiefel, Ono, Quinoy, Schoffner
Physicians: Nneka Morris Elyssa Gerst, PhD David Marcus, PhD, Alexander, PhD, ABPP Interests: cognitive ABPP Pediatric Psychologist development in children Interests: genetics, Interests: teacher with complex medical metabolic conditions, perceptions of social histories, impact of neurofibromatosis, functioning in children congenital or acquired epilepsy, spina bifida with surgically corrected neurological disorders congenital heart disease, on neuropsychological Kim Ono, PhD, ABPP self-talk interventions in functioning Interests: brain tumors, sport and exercise concussion, epilepsy, Robyn Howarth, PhD, neuroimaging, traumatic Donald Bearden, PhD ABPP brain injury Interests: association Interests: anti-NMDA between pain and receptor encephalitis, neuropsychological disorders of Kathleen O’Toole, PhD, function in children, consciousness, ABPP complex neurological assessment of Interests: acquired disorders, epilepsy, neurocognitive status brain injury, cognitive sickle cell disease and functional outomes remediation, epilepsy, during inpatient comorbid disorders, Laura Blackwell, PhD, reahabilitation, remediation of school- ABPP neurocognitive recovery based problems Interests: acquired brain following acquired brain injury, chronic pain, injury, traumatic brain Alexis Quinoy, PhD concussion, pediatric injury, brain tumors Pediatric Psychologist neuropsychology, Interests: anxiety-related traumatic brain injury Dawn Ilardi, PhD, disorders, chronic illness ABPP and pain, cognitive Thomas Burns, PsyD, Interests: atypical behavioral therapy, ABPP neurological rehabilitation Interests: acquired brain development, injury, cerebral palsy, cerebrovascular injury/ Kindell Schoffner, PsyD concussion, epilepsy, disease, transition of Pediatric Psychologist neuroimaging care for special needs Interests: chronic illness teens and pain, coping skills, rehabilitation, acquired/ Ashley Fournier- Jacqueline Kiefel, PhD traumatic brain injury, Goodnight, PhD, NCSP, Interests: concussion, treatment of anxiety and ABPP Duchenne muscular depression Interests: acute acquired/ dystrophy, neurofibromatosis, spina traumatic brain injury, Laura Wright, PhD early childhood bifida, traumatic brain assessment/intervention, injury Pediatric Psychologist posterior fossa syndrome, Interests: pain school re-entry Susan McManus Lee, assessment and PhD, ABPP treatment, chronic pain, Cortney Fritz, PhD Interests: brain injuries, promotion of resilience acute assessment and and adaptation among Interests: inpatient and intervention following youth who experience day rehabilitation, brain injury or illness, pain mild to moderate/ encephalitis, prematurity severe traumatic and perinatal brain injury, disorders complications of consciousness, pediatric cancer and stroke, evidence-based cognitive rehabilitation interventions 31 NEUROSURGERY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Medical Office Building at Scottish Rite Scottish Rite hospital Columbus (Wed) hospital (Mon-Fri) 1001 Johnson Ferry Road NE In Regional Pediatric Center 5461 Meridian Mark Road NE, Suite 520 Atlanta, GA 30342 705 17th St., Suite 406 Atlanta, GA 30342 Services: epilepsy, surgery Columbus, GA 31901 All physicians Dr. Boydston Athens (Tue) Egleston hospital 1500 Oglethorpe Ave. Thomasville 1405 Clifton Road NE Building 600EF In Archbold Medical Center Specialty Clinic Atlanta, GA 30322 Athens, GA 30606 100 Mimosa Drive Services: epilepsy, surgery Dr. Boydston Thomasville, GA 31792 Dr. Boydston
Physicians: William Boydston, MD, Joshua Chern, MD, PhD Michael Sawvel, DO PhD Director, Epilepsy Surgery Member, OR Committee Chief, Neurosurgical Medical Director, Interests: brain and Services Quality Initiatives for spinal cord tumors, spina Co-Chief, Brain Health Neurosciences bifida, epilepsy surgery, Center Interests: Chiari hydrocephalus, Chiari Interests: brain tumors, malformations, cranial malformations, vascular craniosynostosis, and spinal cord tumors, malformations hydrocephalus, spasticity, epilepsy surgery, spinal tumors hydrocephalus David Wrubel, MD Surgery Director, Barun Brahma, MD Andrew Reisner, MD Egleston Hospital Medical Director, Neuro Medical Director, Neuro Fellowship/Residency Spine Care Trauma and Concussion Director, Neurosurgery Interests: brain tumors, Interests: brain tumors, Interests: brain tumors, Chiari malformations, concussions, Gamma Chiari malformations, hyperhidrosis, minimally knife radiosurgery, spine surgery, vascular invasive spine surgery hydrocephalus, pituitary diseases, spinal disorders and tumors dysraphism
ORTHOPAEDICS AND SPORTS MEDICINE Children’s Physician Group 404-255-1933 404-943-8066
Center for Advanced Pediatrics (Mon-Fri) Children’s at Cherokee (Mon-Fri) Children’s at Fayette (Mon-Fri) 1400 Tullie Road NE, Second Floor 1558 Riverstone Parkway, Suite 100 In Piedmont Fayette Hospital Atlanta, GA 30329 Canton, GA 30114 1265 Highway 54 West, Suite 200 Drs. Bruce, Fletcher, McLaughlin, Murphy, Drs. Schrader, Scurfield Fayetteville, GA 30214 Olszewski, Perkins Drs. McLaughlin, Miller, Murphy, Children’s at Duluth (Mon-Fri) Schmitz Children’s at Meridian Mark (Mon-Fri) 2270 Duluth Highway 120, Suite 100 5445 Meridian Mark Road, Duluth, GA 30097 Children’s at Forsyth (Mon-Fri) Suite 250 Drs. Devito, Fabregas, Montero, In The Collection at Forsyth Atlanta, GA 30342 Schrader, Willimon 410 Peachtree Parkway, Suite 300 Drs. Axelrod, Busch, Devito, Fabregas, Cumming, GA 30041 Flanagan, Kroll, Montero, Murphy, Olszewski, Drs. Azerf, Busch, Schmitz Schmitz, Schrader, Willimon
32 ORTHOPAEDICS AND SPORTS MEDICINE (CONTINUED)
Children’s at Hamilton Mill Children’s at Town Center Outpatient Buford (Mon, Wed, Fri) (Mon-Fri) Care Center (Mon-Fri) 2914 Vinson Court 2069 Teron Trace 605 Big Shanty Road NW Buford, GA 30518 Dacula, GA 30019 Kennesaw, GA 30144 Dr. Azerf Drs. Fabregas, Fletcher Drs. Axelrod, Devito, Flanagan, Perkins, Schrader, Scurfield Macon (Tue) Children’s at Hudson Bridge In Piedmont Orthopaedic Complex (Mon-Fri) Athens (Mon-Fri) 4660 Riverside Park Blvd. In the Hudson Bridge Crossing In Three Sixteen Professional Quarter Macon, GA 31210 shopping center 1181 Langford Drive, Building 200, Drs. Bruce, Fletcher 1492 Hudson Bridge Road Suite 101 Stockbridge, GA 30281 Watkinsville, GA 30677 Villa Rica (2nd and 4th Wed) Drs. Brouillette, Murphy, Olszewski, Perkins Drs. Azerf, Devito, Flanagan, Willimon In Tanner Medical Center 705 Dallas Highway, Suite 301 Children’s at Old Milton Parkway (Mon-Fri) Villa Rica, GA 30180 3300 Old Milton Parkway, Suite 310 Dr. Fabregas Alpharetta, GA 30005 Drs. Busch, Devito, McLaughlin, Montero, Olszewski, Schmitz
Orthopaedic surgeons: Jed Axelrod, MD Jorge Fabregas, MD Joshua Murphy, MD Interests: foot and ankle Interests: scolosis and Interests: orthopaedic disorders, Blount’s spinal deformities, trauma, complex disease, spinal deformity, musculoskeletal tumors, spine deformities, disk spina bifida orthopaedic trauma, disease, spondylolysis, cerebral palsy neuromuscluar disease
Robert Bruce Jr., MD Jill Flanagan, MD Dana Olszewski, MD, Medical Director, Interests: osteogenesis MPH Neuromuscular Program imperfecta and bone Interests: complex Interests: complex spinal health, reconstruction of hip problems, hip deformities, early onset complex limb deformity, dysplasia, spina bifida, scoliosis, cerebral palsy limb lengthening and foot and ankle, general reconstruction orthopaedics Michael Busch, MD Surgical Director, Sports Nicholas Fletcher, MD Crystal Perkins, MD Medicine Medical Director, Spine Medical Director, Interests: sports injuries, Quality and Outcomes Orthopaedic Quality and arthroscopic surgery, ACL Interests: complex spinal Outcomes injuries, osteochondritis deformities,early onset Interests: complex disease scoliosis, spina bifida, knee reconstruction, complex hip problems, patellar instability, hip Dennis Devito, MD hip dysplasia arthroscopy, sports Medical Director, Spine injuries Interests: scoliosis and Dell McLaughlin, MD spinal deformities, Interests: musculoskeletal Michael Schmitz, MD spondylolysis, tumors, complex limb Chief, Orthopaedics degenerative disk reconstruction, general Interests: complex disease orthopaedic conditions spinal deformities, early onset scoliosis, limb deficiency, cerebral palsy, orthopaedic trauma
33 ORTHOPAEDICS AND SPORTS MEDICINE (CONTINUED)
Tim Schrader, MD Robert Montero, MD Armand Scurfield, MD Medical Director, Hip Interests: Ponseti Interests: nonoperative Interests: complex hip casting for clubfoot, gait musculoskeletal problems, dysplasia, abnormalities, intoeing, conditions, sports femoral-acetabular bow legs, knock knees, injuries, overuse injuries impingement, surgical cerebral palsy and team sports, dislocation of hip, hip concussion management sports injuries Sports medicine physicians: New physician: Ashley Brouillette, MD S. Clifton Willimon, MD Stephen Miller, MD Interests: nonoperative Interests: arthroscopic Sports medicine musculoskeletal surgery of the hip, physician complex knee ligament conditions, sports Interests: musculoskeletal reconstruction, shoulder injuries, overuse injuries conditions, sports dislocation, sports and team sports, injuries, overuse injuries injuries concussion management and team sports, Orthopaedists: J. Stephen Kroll, MD concussion management Saji Azerf, MD Interests: nonoperative Interests: nonoperative musculoskeletal musculoskeletal conditions, sports conditions, clubfoot, injuries, overuse injuries fracture care and team sports, concussion management
Hand and Upper Extremity Program 404-785-HAND (4263)
We work closely with community orthopaedic and hand surgeons to help make sure complete, coordinated care is delivered seamlessly at our hospitals for children with conditions of the hands, arms, wrists and shoulders. We also collaborate on research and quality initiatives.
Hip Program 404-255-1933
Our pediatric orthopaedic surgeons help make sure that complete, coordinated care is delivered seamlessly at our hospitals for children with hip conditions. We also collaborate on research and quality initiatives.
Scoliosis Screening Program 404-255-1933 404-785-7576
Scoliosis screenings are conducted at our Children’s Physician Group–Orthopaedics and Sports Medicine practice locations. Refer to pages 32 and 33 for a complete listing of all locations. By appointment only.
Spine Program 404-255-1933
Our orthopaedic surgeons help make sure that complete care is delivered seamlessly at our hospitals for children with spine conditions. Our dedicated spine liaison, reachable at the above number, coordinates the patient experience by helping make sure families have the information and resources they need before, during and after care. Additionally, the program’s spine second opinion document review service allows patients to have their medical records and imaging reviewed and assessed by our spine leadership team.
Sports physical therapy
Our services are available at several neighborhood locations throughout metro Atlanta. These locations are departments of Children’s at Scottish Rite hospital. Visit choa.org/sportsmed for addresses and directions.
• Alpharetta: 404-785-8570 • Cumming: 404-785-3090 • Smyrna: 404-785-4271 • Atlanta (Meridian Mark): 404-785-5699 • Duluth: 404-785-8387 • Snellville: 404-785-8081 • Atlanta (North Druid Hills): 404-785-8421 • Fayetteville: 404-785-8790 • Stockbridge: 404-785-4163 • Canton: 404-785-4268 • Kennesaw: 404-785-8008
34 ORTHOTICS AND PROSTHETICS 404-785-3229 404-785-5690 Our services are available at several neighborhood locations throughout metro Atlanta. The appointment scheduler can assist families in finding the most convenient option.
Cranial Remolding Program 404-785-3229
Limb Deficiency Program 404-785-5684
Services offered: • Adaptive sports • Limb lengthening surgery • Rehabilitation • Intelligent hand • Prosthetics design • Silicone restoration
OTOLARYNGOLOGY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Fri) Children’s at Hudson Bridge Children’s at Town Center 1400 Tullie Road NE, First Floor (Mon-Thu) Outpatient Care Center Atlanta, GA 30329 In the Hudson Bridge Crossing (Mon, Thu, Fri) shopping center 605 Big Shanty Road NW Drs. Alfonso, Brown, Evans, Goudy, Govil, 1494 Hudson Bridge Road Landry, Prickett, Raol Stockbridge, GA 30281 Kennesaw, GA 30144 Children’s at Fayette (Tue, Thu) Drs. Evans, Landry, Raol Dr. Alfonso In Piedmont Fayette Hospital Children’s at Satellite Boulevard 1265 Highway 54 West, Suite 200 (Mon, Tue, Fri) Fayetteville, GA 30214 2660 Satellite Blvd. Duluth, GA 30096 Drs. Evans, Govil Drs. Brown, Prickett
Physicians: Sean Evans, MD Nandini Govil, MD Assistant Professor, Assistant Professor, Kristan Alfonso, MD Emory University School Emory University School Assistant Professor, of Medicine of Medicine Emory University School Interests: cochlear of Medicine Interests: general implants, congenital and Interests: sensorineural pediatric otolaryngology, acquired hearing loss, and conductive head and neck masses, sinusitis hearing loss, cochlear congenital deformities, April Landry, MD implants, chronic ear diseases of the sinuses and nose, airway Assistant Professor, disease, external ear Emory University School abnormalities, nasal and abnormalities, speech of Medicine difficulties, ear infections sinus disease, salivary Interest: airway disorders gland disease, airway and disease disorders, head and neck masses Steven Goudy, MD Kara Prickett, MD Medical Director, Assistant Professor, Emory University School Clarice Brown, MD Otolaryngology of Medicine Associate Professor, Assistant Professor, Interests: airway Emory University School Emory University School reconstruction, head and of Medicine of Medicine neck masses, hearing Interests: general Interests: maxillary loss, cochlear implants, pediatric otolaryngology, development, Pierre thyroid disease head and neck masses, Robin sequence, Nikhila Raol, MD, MPH sinonasal disease, vascular malformations, Assistant Professor, obstructive sleep apnea, velopharyngeal Emory University School dysphagia insufficiency of Medicine Interests: voice disorders, sleep disorders
Hearing loss and cochlear implant 404-785-7174 404-785-7113
Our services are available at several neighborhood locations throughout metro Atlanta. The appointment scheduler can assist families in finding the most convenient option. These locations are departments of Children’s at Scottish Rite hospital. 35 PAIN RELIEF 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics Judson L. Hawk Jr., MD, Clinic for Children 1400 Tullie Road NE, Sixth Floor Atlanta, GA 30329
A department of Children’s at Scottish Rite hospital
PHYSIATRY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Tue, Wed, Fri) 1400 Tullie Road NE, Sixth Floor Atlanta, GA 30329
Physicians: Laura Jones, MD Elizabeth Poplawski, DO
Udayan Kulkarni, MD Joshua Vova, MD, FAAP, FAAPMR Medical Director, Rehabilitation
PLASTIC SURGERY AND CRANIOFACIAL
Children’s Physician Group 404-785-7792 404-785-7806
Northside Professional Center 975 Johnson Ferry Road, Suite 100 Atlanta, GA 30042 All physicians
Plastic surgeons: Colin Brady, MD Magdalena Soldanska, Joseph Williams, MD, Interests: congenital MD FACS, FAAP facial reanimation, Interests: cleft lip and Medical Director, Center cleft lip and palate, palate, craniosynostosis, for Cleft and Craniofacial craniosynostosis, ear reconstruction, facial Disorders orthognathic surgery fractures, orthognathic Chief, Plastic Surgery surgery Director, Clinical Research Interests: cleft lip and palate, craniofacial anomalies, dentofacial anomalies, hemangiomas, perinatal consultations
36 PLASTIC SURGERY AND CRANIOFACIAL (CONTINUED)
Center for Cleft and Craniofacial Disorders 404-785-DOCS (3627) 404-785-9111
Medical Office Building Our team provides dentistry services (by physician referral only) to children at Scottish Rite hospital with medical conditions, including craniofacial disorders, cancer, heart 5461 Meridian Mark Road NE, Suite 200 problems and neurological conditions (excluding seizure disorders and Atlanta, GA 30342 autism), as well as children who have undergone solid organ transplants. Clinics: craniofacial feeding, speech Orthodontic services are offered only to children with craniofacial disorders.
A department of Children’s at Scottish Rite hospital
Plastic surgeons: Nikky Shotwell, DDS Orthodontists: See Page 36. Nelson Allen, DDS
Dentists: Sharon Hill, DDS, MS
Jack Thomas, DDS Ambre Kragor, DDS
Michael Minyard, DMD, MPH Karen Uston, DDS Alpesh Patel, DMD
JC Shirley, DMD, MD Director, Pediatric Dentistry Brittany Waters, DDS
PULMONOLOGY
404-785-DOCS (3627) 404-785-9111 Children’s Physician Group (Egleston-based) (Egleston-based)
404-785-0588 404-785-0596 Children’s Physician Group (Scottish Rite-based) (Scottish Rite-based)
Center for Advanced Pediatrics (Mon-Fri) Children’s at Mount Vernon Highway Children’s at Old Milton Parkway 1400 Tullie Road NE, Fifth Floor (Mon-Fri) 3300 Old Milton Parkway, Suite 300 Atlanta, GA 30329 859 Mount Vernon Highway NE, Alpharetta, GA 30005 Suite 300 Clinics: aerodigestive, high-risk asthma, Clinics: high-risk asthma, Atlanta, GA 30328 primary ciliary dyskinesia, pulmonology, pulmonology, severe asthma Synagis, technology-dependent Clinics: high-risk asthma, pulmonology, biologic injections, Synagis severe asthma biologic injections, Egleston-based physicians, All Scottish Rite-based providers Synagis Scottish Rite-based physicians (technology-dependent only) All Scottish Rite-based physicians
37 PULMONOLOGY (CONTINUED)
Children’s at Town Center Outpatient Care Hughes Spalding hospital (Thu) Athens (Tue) Center (Mon-Thu) 35 Jesse Hill Jr. Drive SE, 1500 Oglethorpe Ave., Suite 600E 605 Big Shanty Road NW, Second Floor Second Floor Athens, GA 30606 Atlanta, GA 30303 Kennesaw, GA 30144 Clinic: pulmonology Clinics: high-risk asthma, pulmonology, Clinics: high-risk asthma, pulmonology Drs. Dias, Hazen, Kirchner, Lesnick, sickle cell disease Popler Drs. Brooks, Cilloniz, Hazen, Kim, Kirchner, Drs. Brooks, Hazen, Lang, Popler Lesnick, Sedor, Shahrour
Egleston-based physicians: Devon Greene, MD, Samar Shah, MD Rafael Cilloniz, MD MPH Assistant Professor, Interests: asthma, Assistant Professor, Emory University School airway anomalies, Emory University School of Medicine bronchoscopies, of Medicine Interests: apnea, general exercise physiology, Interests: asthma, exercise-related general pulmonology, pulmonology, high-risk respiratory problems primary ciliary asthma dyskinesia, sickle cell disease Sheel Shah, MD Allan Dias, MD Assistant Professor, Medical Director, Lokesh Guglani, MD Emory University School Children’s Physician Assistant Professor, of Medicine Group–Pulmonology at Emory University School Interests: pulmonary Scottish Rite of Medicine hypertension, asthma Interests: asthma, Interests: chest imaging, primary ciliary cystic fibrosis, lung dyskinesia, cystic function assessment, Dawn Simon, MD fibrosis, tracheostomy/ pulmonary hypertension, Medical Director, technology dependent Pulmonology, Egleston chronic ventilated Medical Director, patients, aerodigestive, Ajay Kasi, MD Aerodigestive Center bronchoscopy Assistant Professor, Associate Professor, Emory University School Emory University School Matthew Hazen, MD of Medicine of Medicine Director, Asthma Center Interests: congenital at Hughes Spalding central hypoventilation Interests: aerodigestive disorders, pulmonary Interests: asthma, chronic syndrome, cystic fibrosis, respiratory failure, cystic diaphragm pacing, home hypertension fibrosis, interstitial mechanical ventilation Snehal Vala, MD lung disease, newborn Rachel Linnemann, MD Assistant Professor, pulmonary diseases Director, Cystic Fibrosis Emory University School Center of Medicine Sophia Kim, MD Co-Director, Pediatric Medical Director, Sleep Cystic Fibrosis Program Center Assistant Professor, Emory University School Interests: obstructive sleep apnea, insomnia, of Medicine Scottish Rite-based physicians: Interests: aerodigestive circadian rhythm Ann-Marie Brooks, MD, disorders, asthma, cystic disorders fibrosis FAAP Interests: asthma, Kevin Kirchner, MD Eric Price, MD neuromuscular disease, Co-Director, Pediatric Assistant Professor, sickle cell disease Cystic Fibrosis Program Emory University School Interests: cystic fibrosis, of Medicine asthma, congenital lung Interests: asthma, chronic abnormalities cough, neuromuscular, tracheostomy and ventilator
38 PULMONOLOGY (CONTINUED)
LaTresa Lang, MD Jonathan Popler, MD Julie Sedor, MD Interests: asthma, cystic Director, Inpatient Interests: aerodigestive fibrosis, sickle cell Pulmonary at Scottish disorders, asthma, disease, technology Rite bronchoscopy, ciliary dependent Interests: aerodigestive dyskinesia, newborn disorders, interstitial lung diseases, cystic lung disease, sickle cell fibrosis lung disease, primary Burt Lesnick, MD, FAAP ciliary dyskinesia, Haitham Shahrour, MD Interests: asthma, lung tracheostomy/chronic Interests: asthma, cystic disease of prematurity, ventilated patients fibrosis, technology rare lung diseases, dependent respiratory issues in Brandon Seay, MD special needs children Interests: cystic fibrosis, asthma, sleep apnea
RADIOLOGY
Egleston hospital Children’s at Forsyth* Children’s at Town Center* 1405 Clifton Road NE In The Collection at Forsyth 625 Big Shanty Road NW Atlanta, GA 30322 410 Peachtree Parkway, Suite 300 Kennesaw, GA 30144 404-785-6078 Cumming, GA 30041 404-785-XRAY (9729) Services: CT scan, DEXA, fluoroscopy, 404-785-3036 Services: CT scan, fluoroscopy, MRI, interventional radiology, MRI, nuclear Service: X-ray medicine, PET, sedation, ultrasound, X-ray sedation, ultrasound, X-ray Children’s at Hudson Bridge* Hughes Spalding hospital In the Hudson Bridge Crossing Children’s at Webb Bridge* 35 Jesse Hill Jr. Drive SE shopping center 3155 North Point Parkway, Atlanta, GA 30303 1510 Hudson Bridge Road Building A, Suite 150 404-785-9988 Stockbridge, GA 30281 Alpharetta, GA 30005 Services: CT scan, fluoroscopy, ultrasound, X-ray 404-785-8739 404-785-XRAY (9729) Service: X-ray Scottish Rite hospital Services: CT scan, fluoroscopy, MRI, 1001 Johnson Ferry Road NE Children’s at Satellite Boulevard* sedation, ultrasound, X-ray Atlanta, GA 30342 2660 Satellite Blvd. 404-785-2787 Duluth, GA 30096 *A department of Children’s at Scottish Services: CT scan, DEXA, fluoroscopy, 404-785-XRAY (9729) Rite hospital interventional radiology, MRI, nuclear Services: X-ray and ultrasound medicine, sedation, ultrasound, X-ray
Interventional radiology 404-785-DOCS (3627) 404-785-9111
See Page 27 for a list of physicians and locations.
REHABILITATION Inpatient rehabilitation 404-785-2274
Scottish Rite hospital 1001 Johnson Ferry Road NE Atlanta, GA 30342
Day rehabilitation 404-785-3300
993-F Building Across the street from Scottish Rite hospital 993-F Johnson Ferry Road NE, Suite 260 Atlanta, GA 30342 A department of Children’s at Scottish Rite hospital 39 REHABILITATION (CONTINUED)
Outpatient rehabilitation 404-785-7100 404-785-7113
Outpatient rehabilitation services include audiology, occupational therapy, physical therapy, and speech and language therapy.
Children’s at North Druid Hills Children’s at Town Center Outpatient Medical Office Building 1605 Chantilly Drive NE Care Center at Scottish Rite hospital Atlanta, GA 30324 605 Big Shanty Road NW 5461 Meridian Mark Road NE Kennesaw, GA 30144 Atlanta, GA 30342
These locations are departments of Children’s at Scottish Rite hospital
Physiatry 404-785-DOCS (3627) 404-785-9111
See Page 36 for a list of physicians and locations.
RHEUMATOLOGY
Children’s Physician Group 404-785-DOCS (3627) 404-785-9111
Center for Advanced Pediatrics (Mon-Fri) Children’s at North Point (Mon, Tue) Children’s at Town Center 1400 Tullie Road NE, Second Floor 3795 Mansell Road Outpatient Care Center Atlanta, GA 30329 Alpharetta, GA 30022 (Mon, Tue) Drs. Prahalad, Rouster-Stevens, Thakral All physicians 605 Big Shanty Road NW Children’s at Satellite Boulevard Kennesaw, GA 30144 (Mon, Tue, Fri) Dr. Taneja 2660 Satellite Blvd. Duluth, GA 30096 Drs. Goldberg, Rouster-Stevens, Thakral
Physicians: Elaine Flanagan, MD Cynthia Manos, MD, Angela Taneja, MD, Assistant Professor, MSCE RhMSUS Emory University School Assistant Professor, Assistant Professor, of Medicine Emory University School Emory University School of Medicine Interests: intra-articular of Medicine Interests: chronic corticosteroid injections, Interests: nonbacterial juvenile idiopathic autoinflammatory osteomyelitis, juvenile arthritis, juvenile diseases, juvenile idiopathic arthritis, dermatomyositis, idiopathic arthritis, musculoskeletal musculoskeletal autoimmune diseases ultrasound ultrasound, systemic lupus erythematosus Sampath Prahalad, MD Amit Thakral, MD, MBA MSc Assistant Professor, Baruch Goldberg, MD Marcus Professor Emory University School Assistant Professor, and Chief, Pediatric of Medicine Emory University School Rheumatology Interests: autoimmune of Medicine Professor, Emory University conditions, rheumatic School of Medicine Interests: uveitis, diseases Interests: juvenile idiopathic macrophage activation arthritis, systemic lupus syndrome, systemic erythematosus juvenile idiopathic arthritis, lupus, juvenile Kelly Rouster-Stevens, arthritis MD, MS Associate Professor, Emory University School of Medicine Interest: rheumatic 40 diseases SLEEP
404-785-DOCS (3627) 404-785-9111 Children’s Physician Group (Egleston-based) (Egleston-based)
404-785-0588 404-785-0596 Children’s Physician Group (Scottish Rite-based) (Scottish Rite-based)
Center for Advanced Pediatrics (Mon-Fri) Children’s at Old Milton Parkway Marcus Autism Center 1400 Tullie Road NE, Fifth Floor 3300 Old Milton Parkway, Suite 300 1920 Briarcliff Road Atlanta, GA 30329 Alpharetta, GA 30005 Atlanta, GA 30329 Egleston-based providers Drs. Kim, Seay Dr. Leu Children’s at Mount Vernon Highway Children’s at Town Center (Mon-Fri) Outpatient Care Center 859 Mount Vernon Highway NE, Suite 300 (Mon or Tue once per month) Atlanta, GA 30328 605 Big Shanty Road NW, Second Floor Drs. Kim, Seay Kennesaw, GA 30144 Dr. Kim
Egleston-based physicians: Scottish Rite-based physicians: Kelli-Lee Harford, PhD Manisha Malik, MD Sophia Kim, MD Sleep Psychologist Assistant Professor, Medical Director, Sleep Assistant Professor, Emory University School Center Emory University School of Medicine Interests: obstructive of Medicine Interests: hypersomnia, sleep apnea, insomnia, Interests: psychology, circadian rhythm circadian rhythm sleep medicine disorders, insomnia disorders
Roberta Leu, MD Daniel Torrez, MD Brandon Seay, MD Medical Director, Sleep Assistant Professor, Interests: insomnia, sleep Center at Egleston Emory University School apnea Assistant Professor, of Medicine Emory University School Interests: narcolepsy, of Medicine obstructive sleep apnea, Interests: circadian restless leg syndrome rhythm disorders, hypersomnia, insomnia, obstructive sleep apnea, parasomnia
Sleep labs (overnight sleep studies) 404-785-2974
Egleston hospital Scottish Rite hospital Children’s at Satellite Boulevard 1405 Clifton Road NE 1001 Johnson Ferry Road NE 2660 Satellite Blvd. Atlanta, GA 30322 Atlanta, GA 30342 Duluth, GA 30096 A department of Children’s at Scottish Rite hospital
41 SPECIALTY CLINICS Judson L. Hawk Jr., MD, Clinic 404-785-DOCS (3627) 404-785-9111 for Children
Center for Advanced Pediatrics • 22q Deletion • Neuro Spine 1400 Tullie Road NE, Sixth Floor • Aerodigestive • Pain Relief Atlanta, GA 30329 • Cerebral Palsy • Pelvic and Anorectal
A department of Children’s at Scottish Rite hospital • Differences of Sexual Development • Spasticity • Genetics • Spina Bifida • Medically Complex • Strong4Life • Muscular Dystrophy • Tuberous Sclerosis • Neurofibromatosis • Vascular Anomalies • Neurogastroenterology and Motility
Feeding 404-785-9343 404-785-9041
Center for Advanced Pediatrics (Mon-Fri) Children’s at Forsyth Marcus Autism Center (Mon-Fri) 1400 Tullie Road NE, Third Floor In the Collection at Forsyth 1920 Briarcliff Road Atlanta, GA 30329 410 Peachtree Parkway, Suite 300 Atlanta, GA 30329 Cumming, GA 30041
SURGERY
Surgery centers
Egleston hospital Children’s at Meridian Mark Children’s at Satellite Boulevard 1405 Clifton Road NE Surgery Center Outpatient Surgery Center Atlanta, GA 30322 5445 Meridian Mark Road NE 2620 Satellite Blvd. Atlanta, GA 30342 Duluth, GA 30096 Scottish Rite hospital 1001 Johnson Ferry Road NE The Surgery Center at Meridian Mark Plaza A department of Children’s at LLC is an affiliate of Children’s Healthcare of Atlanta, GA 30342 Scottish Rite hospital Atlanta. It is a joint venture with Scottish Rite as the majority owner and physician investors as partners. Physicians and affiliated healthcare professionals who perform services at the Surgery Center at Meridian Mark Plaza LLC are independent providers and are not our employees.
42 800-605-6175 404-785-6000 TRANSPLANT (normal business hours) (nights, weekends, holidays)
Heart transplant 404-785-6395 404-785-1994
Egleston hospital Emory Children’s Center Building 1405 Clifton Road NE 2015 Uppergate Drive Atlanta, GA 30322 Atlanta, GA 30322 Clinics: pre- and post-transplant
Heart transplant surgeons: Paul Chai, MD Joshua Rosenblum, MD, Fawwaz Shaw, MD Chief, Cardiothoracic PhD Surgical Director, Heart Surgery Assistant Professor, Transplant Program Co-Chief, Cardiac Emory University School Assistant Professor, Services of Medicine Emory University School Associate Professor, of Medicine Emory University Subhadra Shashidharan, School of Medicine MD Assistant Professor, Kirk Kanter, MD Emory University School Professor, Emory University of Medicine School of Medicine
Kidney transplant 404-785-1405 404-785-6751
Egleston hospital Emory Children’s Center Building 1405 Clifton Road NE 2015 Uppergate Drive Atlanta, GA 30322 Atlanta, GA 30322 Clinics: pre- and post-transplant
Kidney transplant surgeons: Andrew Adams, MD, Kenneth Newell, MD, Thomas Pearson, MD, PhD PhD PhD Assistant Professor, Associate Professor, Emory University School Emory University School of Medicine of Medicine Professor, Emory Idelberto Badell, MD Paul Tso, MD University School of Assistant Professor, Associate Professor, Medicine Emory University School Emory University School of Medicine Ronald Parsons, MD of Medicine Assistant Professor, Christian Larsen, MD Emory University School Professor, of Medicine Emory University School of Medicine
43 Liver transplant 404-785-0150 404-785-9017
Egleston hospital Emory Children’s Center Building 1405 Clifton Road NE 2015 Uppergate Drive Atlanta, GA 30322 Atlanta, GA 30322 Clinics: pre- and post-transplant
Liver transplant surgeons: Andrew Adams, MD, Raymond Lynch, MD PhD Assistant Professor, Assistant Professor, Emory University School Emory University School of Medicine of Medicine
Denise Lo, MD, PhD Joseph Magliocca, MD Assistant Professor, Surgical Director, Liver Emory University School Transplant of Medicine Associate Professor, Emory University School of Medicine
44 Forms and Tools Forms and tools and Forms
Forms accessCHOA
Reminder: The fastest way to submit your order or referral is electronically, using accessCHOA.
AccessCHOA is the web-based interface for the Children’s electronic health record system. It can be used to place an order for outpatient diagnostics and rehabilitation as well as for referrals to Children’s Physician Group specialists*. To learn more, see Page 4 of this guide or go to the Tools section for a tip sheet on using accessCHOA.
If you are not connected to accessCHOA, some online referral forms and order forms can be submitted electronically at choa.org/md.
Our forms
Children’s Physician Group: • Provider referral form • Orthopaedics and sports medicine patient referral form • Rheumatology guidelines and referral form • Synagis enrollment form
Cardiac: • Pulmonary Hypertension Clinic referral form • Sibley Heart Center Cardiology referral form
Child advocacy: Stephanie V. Blank Center for Safe and Healthy Children request for services form Concussion: Downtime mild traumatic brain injury and concussion assessment criteria tool Lab: Outpatient requisition form Neurophysiology: EEG order form Radiology • Advanced pediatric imaging form • Interventional radiology form • Pediatric imaging form
Rehabilitation: Rehabilitation services order form Sleep: Sleep disorders lab order form Sports medicine: Order form
*This does not include the Stephanie V. Blank Center for Safe and Healthy Children or Sibley Heart Center Cardiology forms. These forms must be faxed.
45
Children’s Physician Group
Provider referral form
Complete this form and fax it to 404-785-9111. Use one form for each patient.
If the patient needs to be seen within the next week, call 404-785-DOCS (3627) and do not fill out this form.
□ Urgent □ Non-urgent ______Today’s date Patient's name: ______
______Patient's date of birth: ______Referral form completed by Patient’s gender: □ Male □ Female ______Direct contact phone number Parent/guardian's name: ______
______Cell phone: ______Email Alternate phone: ______Preferred method of communication for referring office Interpreter required: □ Yes □ No (choose one): □ Phone □ Email If yes, provide the language: ______
Referring provider’s name: ______
Office phone: ______
Office fax: ______
Referring provider’s status with patient: □ PCP □ Not PCP
PCP name: ______
PCP phone: ______
Reason for referral: ______
______
Specialty needed (choose one):
Allergy and immunology □ General surgery Specialty clinics
□ Allergy □ Gynecology □ 22q Deletion □ Immunology □ Aerodigestive □ Hematology/oncology □ Apnea □ Cerebral Palsy □ Infectious diseases □ Craniofacial □ Cardiology: pulmonary hypertension Nephrology □ Craniofacial Feeding □ Cardiothoracic surgery □ General nephrology □ Craniofacial Speech
□ Child advocacy □ Hypertension □ Developmental Progress □ Differences of Sexual Development □ □ Kidney transplant Craniofacial surgery □ Epilepsy/Ketogenic Diet Neurology □ Cystic fibrosis □ Genetics □ Developmental neurology □ Dentistry and orthodontics □ Medically Complex □ General neurology □ Muscular Dystrophy □ Diabetes □ Headache □ Neurofibromatosis □ Neurocutaneous Endocrinology □ Neurogastroenterology and Motility □ Neuromuscular □ Bone □ Neuro Spine □ General endocrinology □ New onset seizures □ Pain Relief □ Lipid □ Neuropsychology □ Pelvic and Anorectal (Colorectal) □ Transgender □ Neurosurgery □ Skeletal Dysplasia □ Turner syndrome □ Spasticity □ Orthopaedics and sports Gastroenterology and Hepatology □ Spina Bifida medicine Gastroenterology: □ Strong4Life □ Abdominal pain □ Otolaryngology □ Tuberous Sclerosis
□ Blood in stool □ Physiatry □ Vascular Anomalies
□ Celiac disease □ Plastic surgery □ Other □ Crohn’s and ulcerative colitis (IBD) Pulmonology □ Cystic fibrosis If other, specify: ______□ Pulmonology/asthma □ Eosinophilic (EoE) disorders □ Synagis □ Feeding issues, tube feeds ______□ Technology-dependent □ Pancreas disorders □ Poor weight gain, failure to thrive Rheumatology □ Reflux, heartburn, swallowing □ General rheumatology □ Stool issues (constipation, diarrhea) □ Juvenile idiopathic arthritis
□ Other □ Sleep
Hepatology: □ Abnormal liver test Indicate preferred provider and reason for preference, if applicable: □ Biliary atresia ______□ CF liver disease □ Cholestasis ______□ Direct hyperbilirubinemia □ Elevated or abnormal liver enzymes Fax relevant clinic notes, patient demographics and imaging/diagnostic □ Fontan tests to 404-785-9111. □ Hepatitis □ Jaundice Was the patient’s diagnostic testing (related to this referral) performed □ Liver transplant at Children’s? If yes, please do not fax these records. □ Obesity related liver disease (NAFLD) □ Yes □ No □ Other
Orthopaedics and Sports Medicine
Patient referral form
Appointments: Call 404-255-1933 Monday through Friday from 7 a.m. to 5 p.m. or visit choa.org/CPGortho 24/7.
Referral fax: 404-943-8066.
Reason for patient visit: ______□ Injury/fracture □ Spine/scoliosis □Limp □Hip pain Patient’s name □ Sports injury □ Club foot □Concussion □ Other
Provider (choose one): ______ORTHOPAEDIC SURGEONS Patient’s date of birth □ Jed Axelrod, MD □ Jill Flanagan, MD □ Crystal Perkins, MD □ Robert Bruce Jr, MD □ Nicholas Fletcher, MD □ Michael Schmitz, MD ______□ Michael Busch, MD □ Dell McLaughlin, MD □ Tim Schrader, MD Appointment date □ Dennis Devito, MD □ Joshua Murphy, MD □ S. Clifton Willimon, MD □ Jorge Fabregas, MD □ Dana Olszewski, MD ______Appointment time SPORTS MEDICINE PRIMARY CARE PHYSICIANS □ Ashley Brouillette, MD □ Stephen Miller, MD ______□ J. Stephen Kroll, MD □ Armand Scurfield, MD
ORTHOPAEDIST □ Robert Montero, MD □ Saji Azerf, MD Patient family checklist: □ Print and complete ADVANCED PRACTICE PROVIDERS AND ATHLETIC TRAINERS registration paperwork prior □ Jessica Beck, PA-C □ J. Brian Kelly, PA-C □ Christina Perez, AT-C to your child’s appointment to □ Charles Coppinger, PA-C □ David Kloehs, AT-C □ Tracy Ruska, CPNP □ Denise Coultes Beuret, FNP-C □ Nancy Kralovich, PA-C □ Karen Shaw, PA-C minimize the initial wait time. □ Sara Delk, PA-C □ Nicki Kress, PA-C □ Catalina Urbizo, PA-C □ Bring X-rays, if available. □ Stephanie de Jager, CPNP □ Keri Liles, PA-C □ Beth Walsh, AT-C □ Bring a specialist referral if □ Raven Giordano, AT-C □ Rebecca Lunsford, PA-C □ Kirsten Warnock, NP-C required by insurance. □ Grace Hall, PA-C □ Nicole Mayberry, PA-C □ Wallace Wilson, PA-C □ Veronica Hill, CPNP □ Joshua Myers, FNP-C
Location (choose one): □ Center for Advanced Pediatrics: 1400 Tullie Road NE, Second Floor, Atlanta, GA 30329 □ Children’s at Meridian Mark: 5445 Meridian Mark Road, Suite 250, Atlanta, GA 30342 □ Children’s at Old Milton: 3300 Old Milton Parkway, Suite 310, Alpharetta, GA 30005 □ Children’s at Forsyth: 410 Peachtree Parkway, Suite 300, Cumming, GA 30041 □ Children’s at Hamilton Mill: 2069 Teron Trace, Dacula, GA 30019 □ Children’s at Duluth: 2270 Duluth Highway 120, Suite 100, Duluth GA 30097 □ Children’s at Fayette: 1265 Highway 54 West, Suite 200, Fayetteville, GA 30214 □ Children’s at Town Center Outpatient Care Center: 605 Big Shanty Road NW, Kennesaw, GA 30144 □ Children’s at Hudson Bridge: 1492 Hudson Bridge Road, Stockbridge, GA 30281 □ Athens: Three Sixteen Professional Quarter, 1181 Langford Drive, Bldg. 200, Suite 101, Watkinsville, GA 30677 □ Buford: 2914 Vinson Court, Buford, GA 30518 □ Macon: 4660 Riverside Park Boulevard, Macon, GA 31210 □ Villa Rica: 705 Dallas Highway, Suite 301, Villa Rica, GA 30180 Children’s Physician Group– Rheumatology
Guidelines for referrals
Below is a list of guidelines to follow when referring a patient to Children’s Physician Group– heumatology for a consultation. hese are meant to e general guidelines. f you ha e specific uestions, call CS ( ) and as to spea with the on call rheumatologist.
Conditions treated n ylosing spondylitis icroscopic polyangiitis Sarcoidosis Behcet’s disease i ed connecti e tissue disease Sjögren’s syndrome Chronic recurrent multifocal orphea locali ed scleroderma Systemic lupus erythematosus osteomyelitis (C ) (in conjunction with Systemic sclerosis scleroderma Granulomatosis with polyangiitis dermatology) eitis (along with (Wegener’s) Periodic fe er syndromes ophthalmology) u enile dermatomyositis Psoriatic arthritis u enile idiopathic arthritis ( ) Polyarteritis nodosa
Urgent referrals f you feel your patient needs to e seen immediately, denote “urgent” on the rheumatology referral form. All referrals marked “urgent” are triaged to help make sure patients are seen in a timely fashion. f you wish to spea to the on call pediatric rheumatologist, call - - CS ( ). Generally, conditions that may warrant an urgent initial outpatient isit include, ut are not limited to Persistent joint swelling (chronic arthritis is defined as ≥ wee s) without antecedent trauma. Starting an S such as i uprofen or napro en may e warranted. We do not ad ocate gi ing these patients oral steroids prior to the initial consultation isit, as they may o scure alternati e diagnoses and signs of arthritis. Significant joint contractures affecting function. oint pain and swelling with persistent fe ers ( ) without infectious or oncologic etiology. persistent malar rash with mild cytopenias, signs of serositis (pleural effusion on ray or pericardial effusion on echocardiogram) or mild proteinuria (send first morning urine protein creatinine). dermatomyositis rash (i.e., persistent pin scaly papular rash o er CPs, P Ps, el ows and or nees, or malar rash) with signs of wea ness or ele ated muscle en ymes (i.e., S , , C or ).
Non-urgent referrals here are se eral conditions we see that may not warrant an urgent e aluation gi en the a aila le resources. hese may include the following Chronic pain with sleep distur ances, fatigue, diffuse joint or muscle pain with normal e am, and normal CBC and acute phase reactants do not re uire an urgent appointment. hese patients can e managed y the primary care pro ider with counseling or y the pain ser ice if se ere. positi e test without other symptoms, e am findings or a normal la s (i.e., CBC, S , C P, C P, urinalysis, muscle en ymes, S or free ) does not change this recommendation.
49 Children with musculos eletal pain ut no signs of inflammation (i.e., swelling, warmth or decreased range Children’s Physician Group– of motion) seldom ha e a chronic rheumatic condition, e en if they ha e a positi e test. Consider ray to e aluate for fracture, cancer and consider trial of S s, physical therapy and increased physical Rheumatology acti ity. Children with prolonged episodes of intermittent leg pain at night with normal daytime acti ities and normal studies (i.e., CBC, S , C P or ray) usually have “growing pains” and do not necessarily need a rheumatologic e aluation. Raynaud’s phenomenon is a common complaint in tall, thin teenage girls in winter months. ost of these Referral form patients—as long as they do not ha e other concerning symptoms or e am a normalities—ha e primary Raynaud’s phenomenon and no underlying rheumatic disease. Labs that are helpful in evaluating these □ Non-urgent referrals: Fax this form to 404-785-9111. patients and could e o tained prior to referral include CBC with differential, S , C P, C P, and □ Urgent referrals: Fax this form to 404-785-9096. Call 404-785-DOCS (3627) if you would like to discuss this case anti phospholipid anti odies. a e sure patients eep core and e tremities warm y wearing warm glo es and soc s, and y using heat pac s. with the on-call rheumatologist. normal la findings, such as a positi e or positi e rheumatic factor at a low titer, in the a sence of o jecti e clinical findings usually do not re uire rheumatologic e aluation. ______Patient's name: ______Conditions seen by other specialists Today’s date here are some conditions that may warrant the e pertise of other specialties, e en though joint pain might e Patient's date of birth: ______one of their manifestations. Patient’s gender: □ Male □ Female or patients with chronic widespread pain where Checklist: you suspect fi romyalgia, ma e a referral to the Pain elief Clinic as well. he wait is often long for these □ Fax all appropriate records to Parent/guardian's name: ______patients. f they wait to see rheumatology efore a referral to the Pain elief Clinic is made, they will wait our office prior to the patient’s e en longer to e seen in the Pain elief Clinic. ur primary role is to e clude a rheumatic disease that Cellphone: ______Alternate phone: ______might e present concomitantly. visit. This includes office visit (i.e., hlers anlos syndrome or Marfan’s syndrome): efer notes, imaging studies (X-rays, Interpreter required: □ Yes □ No Language requested: ______to the Genetics Clinic. lso consider a cardiology e aluation to screen for cardiac manifestations of MRI, etc.) and lab results. If lab connecti e tissue disease. results are pending at the time Referring provider’s name: ______records are faxed, make sure the Referrals and medical records completed results are sent over Office phone: ______Office fax: ______ “ ” he on call when available. rheumatologist is a aila le to discuss any case or concern y calling CS ( ). rheumatology □ If the patient had imaging Referring provider’s status with patient: □ PCP □ Not PCP referral form is a aila le to aid in communication of clinical data. studies, ask the family to bring a on urgent referral re uests should e fa ed to . PCP name: ______PCP phone: ______ rgent referral re uests should e fa ed to . disc with the images to their rheumatology appointment. Reason for referral (check all that apply): Make sure all appropriate records are faxed to our office prior to the patient’s visit. This includes the office □ If the patient has seen other □ Joint pain and swelling □ Muscle weakness □ Recurrent fevers □ Rash visit notes, imaging studies (i.e., X-rays or MRI) and lab results. If lab results are pending at time the records specialists related to their □ Uveitis □ Abnormal labs □ Other: ______are faxed, send the complete results when available. symptoms, send these records to us as well. Did you send relevant labs pertaining to this referral? □ Yes □ No If the patient had imaging studies, ask the family to bring a CD with the images to their rheumatology - If yes, are the results included with this form? □ Yes □ No appointment. - If yes, are any lab results still pending at this time? □ Yes □ No - List labs that are still pending: ______If the patient has already seen other specialists related to their symptoms (i.e., ophthalmology or orthopaedics), send these records to us as well. Were imaging studies performed (X-ray, ultrasound, CT, MRI)? □ Yes □ No - If yes, are the results included with this form? □ Yes □ No - Have the patient bring a CD with images if they were not performed at a Children’s Healthcare of Atlanta facility.
Did another physician or specialist recommend this referral? □ Yes □ No - If yes, have all relevant clinic notes, labs and/or imaging study reports from the specialist been faxed? □ Yes □ No - If you do not have records from the specialist, provide the following: Children’s Healthcare of Atlanta Inc. All rights reserved. Specialist name: ______Phone: ______50 Children’s Physician Group– Rheumatology
Referral form
□ Non-urgent referrals: Fax this form to 404-785-9111. □ Urgent referrals: Fax this form to 404-785-9096. Call 404-785-DOCS (3627) if you would like to discuss this case with the on-call rheumatologist.
______Patient's name: ______Today’s date Patient's date of birth: ______
Patient’s gender: □ Male □ Female Checklist: □ Fax all appropriate records to Parent/guardian's name: ______our office prior to the patient’s visit. This includes office visit Cellphone: ______Alternate phone: ______notes, imaging studies (X-rays, MRI, etc.) and lab results. If lab Interpreter required: □ Yes □ No Language requested: ______results are pending at the time Referring provider’s name: ______records are faxed, make sure the completed results are sent over Office phone: ______Office fax: ______when available. □ If the patient had imaging Referring provider’s status with patient: □ PCP □ Not PCP studies, ask the family to bring a PCP name: ______PCP phone: ______disc with the images to their rheumatology appointment. Reason for referral (check all that apply): □ If the patient has seen other □ Joint pain and swelling □ Muscle weakness □ Recurrent fevers □ Rash specialists related to their □ Uveitis □ Abnormal labs □ Other: ______symptoms, send these records to us as well. Did you send relevant labs pertaining to this referral? □ Yes □ No - If yes, are the results included with this form? □ Yes □ No - If yes, are any lab results still pending at this time? □ Yes □ No - List labs that are still pending: ______
Were imaging studies performed (X-ray, ultrasound, CT, MRI)? □ Yes □ No - If yes, are the results included with this form? □ Yes □ No - Have the patient bring a CD with images if they were not performed at a Children’s Healthcare of Atlanta facility.
Did another physician or specialist recommend this referral? □ Yes □ No - If yes, have all relevant clinic notes, labs and/or imaging study reports from the specialist been faxed? □ Yes □ No - If you do not have records from the specialist, provide the following: Specialist name: ______Phone: ______Children’s Physician Group— Pulmonology
2020-2021 Synagis Enrollment Form
**PLEASE Include a copy of insurance/Medicaid card and NICU discharge summary.**
______Patient's name: ______Gender: □ M □ F Today’s date Parent/guardian names: ______Address: ______Referral form completed by ______Phone (H): ______(W): ______(C): ______Direct contact phone number Primary insurance name/ID#: ______Policy holder’s name: ______DOB: ______Pediatrician name Secondary insurance name/ID#: ______Practice name PATIENT INFORMATION ______Date of birth: ______Gestational age: ______weeks ______days Practice zip code Birth hospital: ______NICU discharge date: ______Birth weight: ______lb/kg Current weight: ______lb/kg Pediatrician phone number ______Current height: ______in/cm Date weight and height were taken: ______Pediatrician fax number Has this child received Synagis this season? □ Yes □ No Date: ______Referring physician name AAP GUIDELINE ASSESSEMENT (select appropriate qualifying description) (if different than pediatrician) □ Prematurity: Born before 29 weeks gestation and birthdate after 10/1/2019. □ CLD First Year of Life: Born before 32 weeks gestation and has chronic lung disease (CLD) with a requirement for supplemental oxygen for at least the first 28 days of life and birthdate after 10/1/2019. □ CLD Second Year of Life: Born before 32 weeks gestation and has CLD with a requirement for supplemental oxygen for at least the first 28 days of life and birthdate after 10/1/2018 and has required treatment with chronic corticosteroids, diuretics or oxygen after 4/1/2020. Medications: ______□ CHD: Hemodynamically significant congenital heart disease (CHD) and birthdate after 10/1/2019 with written recommendation indicating need for Synagis from cardiologist. □ Cyanotic □ Acyanotic Diagnosis: ______Diagnosis code: ______□ Neuromuscular/airway: Neuromuscular disease or congenital anomaly that impairs ability to clear airway secretions and born after 10/1/2019. Diagnosis: ______D iagnosis code: ______
REFERRAL INSTRUCTIONS Select your preferred location and fax this form to 404-785-0596. Contact Jessica Van Emburgh, Synagis Coordinator, at 404-785-0588 ext. 11721 with questions. □ Center for Advanced Pediatrics □ Mount Vernon Highway
22474-08 Patient Name: Children's Healthcare of Atlanta
The Sibley Heart Center, Children’s at Egleston Campus Patient DOB: PULMONARY HYPERTENSION CLINIC REFERRAL FORM
Date:______
Patient Name:______DOB:______Age:______
Parent’s Name:______Home Phone:______
Home Address:______Cell Phone:______
______Work Phone:______
Referring Physician:______Contact Number:______
Primary Care Physician:______Office Phone:______
Reason for referral:______
______
______
Diagnosis(es):______
______
______
New PH clinic appointments are routinely staffed by both a cardiologist and pulmonologist. Please indicate if
you would like the patient seen by: Cardiologist only Pulmonologist only
Person completing form (print): ______Signature:______
INSTRUCTIONS:
Demographics sheet (including insurance information)
Most recent clinic note
Cardiac catheterization report (if relevant)
Echocardiogram report (if relevant)
Other imaging/clinical information (if relevant)
Call 404-785-2950 (Patricia Lawrence, NP) with questions.
Please fax this form and above documents to 404-785-1869 Total number of pages ______(Inclusive) Sibley Heart Center Cardiology Referral Form Phone: 404-256-2593 or 800-542-2233 Fax: 404-252-7431 choa.org/cardiology
Please fax signed form to 404-252-7431. 404-252-7431.
Patient Name: ______Date of Birth: __/__/__ Patient Phone: ______Referring Provider Name: ______Provider Phone: ______Provider Fax ______(PRINT)
¨ Fax demographic sheet, clinical notes or other records needed for the appointment, with referral to 404-252-7431
Diagnosis: (Check all that apply for full evaluation by Cardiologist)
Sibley Heart Center Cardiology ___ Chest pain ___ Cyanotic Episodes ___ Syncope/lightheadedness For DX below, send information as indicated: ___ Palpitations ___ Hypertension (Send prior BP readings) ___ Tachycardia ___ Hyperlipidemia (Send most recent labs) ___ Cardiac Clearance ___ Abnormal ECG (Send previous ECG) ___ Murmur ___ Other ______
¨ Orders must be received before a test can be performed: Fax this order to 404-252-7431. Sibley Heart Center Cardiology Heart Center Sibley
Diagnosis ______Reason for Study ______ECG (Need previous ECG if available) ___ Echocardiogram ___ Holter Monitor (24-hour study) ___ Event Recorder (30 day study)
Referring Provider Signature Required: ______Date: ____/____/____
At Sibley Heart Center Cardiology we have a medical interpreter and language line available
Please call us at 404-256-2593 or visit www.choa.org/cardiologyreferrals to submit an online referral. To request more pads to be sent to your office, visit choa.org/orderpad
CHOA/SHCC.RxPad.12/26/18 Request for Services
Primary Care Provider (PCP) Referral Stephanie V. Blank Center for Safe and Healthy Children Child advocacy center and a department of Children’s at Scottish Rite hospital
PLEASE FILL OUT COMPLETELY Date of request: ______
Please note: PCPs are only able to request forensic medical exams.
Practice and Physician/Provider Name: ______Are you requesting a forensic medical exam? Yes ____ No _____ Is law enforcement involved? Yes ____ No _____ Jurisdiction: ______Case Number: ______Is DFCS involved? Yes ____ No _____ County: ______
If there is a suspicion for child abuse, a report to DFCS is required by law. Report by dialing: 1-855-GA-CHILD or 1-855-422-4453 (Reporting to the SVB Center does not satisfy mandated reporting requirements)
Victim’s Data Victim’s Legal Name: ______Date of Birth: ______Age: ___ Gender: ____Male ____Female Race: ______Language: ______Victim’s Address: ______City / ZIP: ______County: ______Parent/Legal Guardian Name: ______Parent/Legal Guardian Date of Birth: ______Relation to Victim: ______Phone: (H) ______(C) ______Any known special needs/developmental delays? ______
Allegations Sexual abuse ______Physical abuse ______Neglect ______
FOR SEXUAL ABUSE (Please indicate ALL that apply): Fondling _____ Digital-vaginal _____ Digital-Anal _____ Oral-Vaginal _____ Oral-Penile ______Penile-Vaginal _____ Penile-Anal _____
Produced by: Child Protection PAGE 55 Revised: 3.16.21 Page 1 of 2 Stephanie V Blan Center for Safe and ealth Children – R RRAL (continued)
D SCR N ALL D AB S : or all concerns please e specific regarding hat is eing reported his ill greatl assist o r a ilit to ser e clients ade atel and promptl ______
Date of Last Contact ith Alleged erpetrator: ______Location of A se: ______Co nt : ______