Edward Marvin Gotlieb, MD
Pediatric Adolescent Medicine Physician · Stone Mountain, GA
Edward Marvin Gotlieb, MD is a pediatric adolescent medicine physician with a practice address in Stone Mountain, Georgia, and NPI 1093713356, issued on Jul 11, 2005. Check the license (Georgia 014500, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Edward Marvin Gotlieb
- Credential
- MD
- Primary taxonomy
- Pediatric Adolescent Medicine Physician 2080A0000X
- License number
- 014500 GA
Self-reported in NPPES; status is on the state search - Practice location
- 5405 Memorial Dr, Stone Mountain, GA 30083
- Phone
- (404) 296-3800
- Enumerated
- Jul 11, 2005
- Record last updated
- Sep 28, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (404) 297-8753
- Entity
- Type 1 · individual
8 nearest pediatric adolescent medicine physician records → All 90 in Georgia → Look up another NPI →
Also registered at 5405 Memorial Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jaquelin Gotlieb, MDPediatrics Physician1689672826
- Ntasha Hodge, LPCMental Health Counselor1750081188
- Mary Lourie, CPNP-PCPediatric Nurse Practitioner1164191441
- Tinita SimmondsProfessional Counselor1194141796
- Phoebe Thorpe, M.D., M.P.H.Specialist1003814369
Verify Edward Marvin Gotlieb in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 014500Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $76.81
4 payments; by number, the most common kind was food and beverage; the largest payer was ALK-Abello, Inc. The 859 providers of this specialty with any payment received $389.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Edward Marvin Gotlieb among 90 pediatric adolescent medicine physician records in Georgia
Edward Marvin Gotlieb, MD is one of 90 pediatric adolescent medicine physician records with a practice address in Georgia. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 70% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileNo · 1% of these records are
- Record last updated2011 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080A0000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Adolescent Medicine Physician providers in Georgia
There are 90 pediatric adolescent medicine physician records in Georgia.
All 90 in Georgia → Every provider in Stone Mountain → Pediatric Adolescent Medicine Physician nationwide →
The 8 pediatric adolescent medicine physician records with the nearest ZIP codes
- Noureen Husain, MDSmyrna, GA 300801144205279
- Anne Benford, NPStone Mountain, GA 300871831843499
- Gerald Clark, M.D.Roswell, GA 300761386640241
- Jodi Greenwald, M.D.Roswell, GA 300761073519930
- Richard Levitt, M.D.Roswell, GA 300761720084684
- Laura Zucker, M.D.Roswell, GA 300761053317917
- Monica Holzwarth, M.DMarietta, GA 300681699768168
- Robert Forbes, MDMarietta, GA 300641245279009
Common questions
What is Edward Marvin Gotlieb, MD's NPI number?
Edward Marvin Gotlieb, MD's National Provider Identifier (NPI) is 1093713356, issued on Jul 11, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Edward Marvin Gotlieb, MD located?
The NPPES record lists a practice address at 5405 Memorial Dr, Stone Mountain, GA, 30083. Phone: (404) 296-3800. Providers update this record themselves, so call before visiting.
How can I verify Edward Marvin Gotlieb, MD's license?
NPPES lists Georgia license number 014500, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.