Individual provider Active NPI

Julia Perry Wutz

  • Gerontology Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1063380558
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN220003 Issued in GA
Practice address
4255 Wade Green Rd NW Ste 320
Kennesaw, GA 30144-1811
Phone
(770) 423-1316
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN220003 GA Primary

Addresses

Primary practice location

4255 Wade Green Rd NW Ste 320
Kennesaw, GA 30144-1811

Mailing address

119 Hilton Way
Canton, GA 30114-6012
Phone (678) 923-3918

Other practice location 1

11 Charley Harper Dr SE Ste 170
Cartersville, GA 30120-1127
Phone (770) 382-0114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105001975 GA Practitioner - Nurse Practitioner 8628564184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians

Practice addresses (Care Compare)

2122 Cumming Rd
Augusta, GA 30904-4334
Phone (737) 226-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN220003GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Ga LLC CurrentSince Dec 16, 2025 Accepting new patients
Curana Health Medical Group LLC CurrentSince Dec 16, 2025 Accepting new patients
Curana Health of Georgia LLC CurrentSince Dec 16, 2025 Accepting new patients

Locations

3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326
Phone (470) 682-3536

2541 Milledgeville Rd
Augusta, GA 30904
Phone (706) 735-2581

2122 Cumming Rd
Augusta, GA 30904
Phone (706) 737-8258

2274 Salem Rd SE
Conyers, GA 30013
Phone (404) 974-6578

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1063380558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HILTON WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146012",
            "telephone_number": "678-923-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WADE GREEN RD NW STE 320",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441811",
            "telephone_number": "770-423-1316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Charley Harper Dr SE Ste 170",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301201127",
            "country_code": "US",
            "telephone_number": "770-382-0114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUTZ",
        "first_name": "JULIA",
        "middle_name": "PERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN220003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.