Ania Beth Kirollos

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

290355 Issued in GA

Practice address

5126 Peachtree Blvd Apt 211
Chamblee, GA 30341-3251

Phone

(518) 524-6370

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kennesaw Health and Wellness Center LLC

  dba Kennesaw Gynecology

  • Gynecology Physician
  • Kennesaw, GA
  • NPI 1225505217
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1184200073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 PEACHTREE BLVD APT 211",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413251",
            "telephone_number": "518-524-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 PEACHTREE BLVD APT 211",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413251",
            "telephone_number": "518-524-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIROLLOS",
        "first_name": "ANIA",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "290355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "address_1": "5126 Peachtree Blvd Apt 211",
            "city": "Chamblee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303413251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caren Leslie Kaplan, PA-C
• Allison Keener, RBT
• Christine J Kennedy, P.D.,PH.D., R.PH.
• Gi Young Kim, NP-C
• Marika King, SLP
• Samuel Kissiedu
• Jacquelyn Gabrielle Kistenberg, RNFA
• Marlene Peters Knieper, RN
• KPM, LLC
• Kufahl & Peeples Management

• Women's Health Nurse Practitioner in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.