Individual provider Active NPI

Julia Kirsten Roos, M.D.

  • Family Medicine Physician
  • Shelby, NC
National Provider Identifier
1245299668
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200200590 Issued in NC
Practice address
520 N Dekalb St
Shelby, NC 28150-4188
Phone
(704) 484-8001
Fax
(704) 484-2485
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200200590 NC Primary
Family Medicine Physician 207Q00000X 21868 SC

Addresses

Primary practice location

520 N Dekalb St
Shelby, NC 28150-4188

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other practice location 1

910 E Church St
Cherryville, NC 28021-2968
Phone (704) 435-5227

Other identifiers 4

IdentifierTypeStateIssuer
P01131300OtherSCRAILROAD MEDICARE
89131XAMedicaidNC
AA7340J577OtherSCMEDICARE PIN
L33998MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000043 NC Practitioner - Family Practice 7315911583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

214 Cleveland Ave
Kings Mountain, NC 28086-3106
Phone (704) 731-1228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200200590NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Family Medicine Current Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Feb 8, 2022 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Feb 8, 2022 Accepting new patients
Boiling Springs Medical Associates, PA Past Accepting new patients
Caromont Medical Group Inc Family Medicine Past Accepting new patients

Locations

910 E Church St
Cherryville, NC 28021
Phone (704) 435-5227

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

214 Cleveland Ave
Kings Mtn, NC 28086
Phone (704) 730-1228

520 N DeKalb St
Ste B
Shelby, NC 28150
Phone (704) 484-8001

520 N DeKalb St
Shelby, NC 28150
Phone (704) 480-0222

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1245299668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N DEKALB ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504188",
            "telephone_number": "704-484-8001",
            "fax_number": "704-484-2485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Church St",
            "address_purpose": "LOCATION",
            "city": "Cherryville",
            "state": "NC",
            "postal_code": "280212968",
            "country_code": "US",
            "telephone_number": "704-435-5227",
            "fax_number": "704-435-5233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOS",
        "first_name": "JULIA",
        "middle_name": "KIRSTEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200200590",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01131300",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131XA",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "AA7340J577",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L33998",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.