Individual provider Active NPI

Perry Howard Julien, D.P.M.

  • Sports Medicine Podiatrist
  • Atlanta, GA
National Provider Identifier
1376529479
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
000582 Issued in GA
Practice address
5600 Roswell Rd NE
Suite M-190
Atlanta, GA 30342-1150
Phone
(404) 255-9131
Fax
(404) 255-0731
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X 000582 GA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X GA582 GA

Addresses

Primary practice location

5600 Roswell Rd NE
Suite M-190
Atlanta, GA 30342-1150

Mailing address

5600 Roswell Rd NE
Suite M-190
Atlanta, GA 30342-1150
Phone (404) 255-9131

Other identifiers 1

IdentifierTypeStateIssuer
00417337BMedicaidGA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000174 GA Practitioner - Podiatry 2668476342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000582GAMDInternal Medicine Physician
GA582GAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1376529479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 ROSWELL RD NE",
            "address_2": "SUITE M-190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421150",
            "telephone_number": "404-255-9131",
            "fax_number": "404-255-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 ROSWELL RD NE",
            "address_2": "SUITE M-190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421150",
            "telephone_number": "404-255-9131",
            "fax_number": "404-255-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIEN",
        "first_name": "PERRY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "GA",
            "license": "000582",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "GA582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00417337B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.