Joli Oculoplastics, LLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

JOLI OCULOPLASTICS, LLC

Practice address

10710 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-2440

Phone

(770) 629-0600

Fax

(770) 215-7522

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Julia Kang, MDNPI 1609329853

Title

Physician, Owner

Phone

(636) 484-4047

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Kang, M.D., M.P.H.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Johns Creek, GA
  • NPI 1609329853
  Medicare reassignment NPD Authorized official
• Michelle Chun

  • Family Nurse Practitioner
  • Johns Creek, GA
  • NPI 1487121679
  NPD (past)
• Christopher C Kang, M.D.

  • Internal Medicine Physician
  • Johns Creek, GA
  • NPI 1447226808
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1285315499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972440",
            "telephone_number": "770-629-0600",
            "fax_number": "770-215-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972440",
            "telephone_number": "770-629-0600",
            "fax_number": "770-215-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLI OCULOPLASTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "636-484-4047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna Johnson-Reid
• Morgan Leigh Richburg Johnson, APRN
• Quentin Johnson
• Zaqayvia Johnson
• Molly Johnston, M.S., BCBA
• Alexis Chester Jones, PA-C
• August B Jones, MSW,LCSW
• Desiree Jones
• Kelly Jones
• Tanya Jones, LMSW

• Ophthalmic Plastic and Reconstructive Surgery Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.