NPI age
20 years
Enumerated 2005-07-11
● Active
Type 1 · Individual
DR. Edward Marvin Gotlieb, MD
Gotlieb is 1 of 3 pediatrics providers in Stone Mountain and 1 of 138 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-09-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 138 active pediatrics providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
5405 Memorial Dr, Building D
Stone Mountain, GA 300833234
Mailing address
5405 Memorial Dr, Building D
Stone Mountain, GA 300833234
Specialties
-
Pediatrics PrimaryA pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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