Individual provider Active NPI

Julia Pendergrast Berry, NP-C

  • Pediatric Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1285990317
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN-NP186162 Issued in GA
Practice address
1875 Century Blvd NE
Suite 150
Atlanta, GA 30345-3325
Phone
(404) 633-4595
Fax
(404) 633-6637
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN186162 GA
Pediatric Nurse Practitioner 363LP0200X APRN-NP186162 GA Primary

Addresses

Primary practice location

1875 Century Blvd NE
Suite 150
Atlanta, GA 30345-3325

Mailing address

136 Madison Ave
Decatur, GA 30030-3540
Phone (404) 313-0594

Other names 1

  • Julia Bradfield Pendergrast Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN186162GAMDFamily Nurse Practitioner
APRN-NP186162GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center Past Accepting new patients
Childfren'S Medical Group, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julia.berry@cmgpc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1285990317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MADISON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303540",
            "telephone_number": "404-313-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 CENTURY BLVD NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453325",
            "telephone_number": "404-633-4595",
            "fax_number": "404-633-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JULIA",
        "middle_name": "PENDERGRAST",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN186162",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "APRN-NP186162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "PENDERGRAST",
            "middle_name": "BRADFIELD",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.