Active NPI
Julia Lynn Kerolus, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Atlanta, GA
National Provider Identifier
1417213257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 89446
- Practice address
- 1218 W Paces Ferry Rd NW Ste 108
Atlanta, GA 30327-2308 - Phone
- (404) 233-3937
- NPI assigned
- Apr 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036145635 | IL | |
| Facial Plastic Surgery Physician | 207YS0123X | 036.145635 | IL | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 89446 | GA | Primary |
Addresses
Primary practice location
1218 W Paces Ferry Rd NW Ste 108
Atlanta, GA 30327-2308
Mailing address
1218 W Paces Ferry Rd NW Ste 108
Atlanta, GA 30327-2308
Phone (404) 233-3937
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Other names 1
- Julia Lynn Frisenda
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.145635 | IL | MD | Facial Plastic Surgery Physician |
| 89446 | GA | MD | Otolaryngology/Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711756800000",
"number": "1417213257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 W PACES FERRY RD NW STE 108",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272308",
"telephone_number": "404-233-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 W PACES FERRY RD NW STE 108",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272308",
"telephone_number": "404-233-3937"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "866-600-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEROLUS",
"first_name": "JULIA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2024-03-30",
"certification_date": "2024-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036145635",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "IL",
"license": "036.145635",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "GA",
"license": "89446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "FRISENDA",
"middle_name": "LYNN",
"credential": "MD",
"code": "1",
"type": "Former 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 Mar 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.