Individual provider Active NPI

Julie D Cherolis, MD

  • Anesthesiology Physician
  • Dickson, TN
National Provider Identifier
1457396640
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD40976 Issued in TN
Practice address
111 Highway 70 E
Dickson, TN 37055-2080
Phone
(931) 551-1795
Fax
(931) 551-1798
NPI assigned
Jun 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD40976 TN Primary

Addresses

Primary practice location

111 Highway 70 E
Dickson, TN 37055-2080

Mailing address

1731 Memorial Dr
Suite 108
Clarksville, TN 37043-4523
Phone (931) 551-1795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110215000397 AL Practitioner - Anesthesiology 7416956461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Anesthesia Services, LLCGroup PAC ID 8022529312, 8 clinicians

Practice addresses (Care Compare)

1815 Hand Ave
Bay Minette, AL 36507-4110
Phone (251) 937-5521

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD40976TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. Anesthesiology CurrentSince Nov 1, 2010 Accepting new patients
Anesthesiologists Associated PC CurrentSince Jul 4, 2022 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Nov 1, 2010 Accepting new patients
Imc-Anesthesia Services, LLC Anesthesiology CurrentSince Apr 7, 2025 Accepting new patients
Anesthesiologists Associated PC Anesthesiology CurrentSince Jul 4, 2022 Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC Anesthesiology PastSince Sep 1, 2005 Accepting new patients
Mira Healthcare of Tennessee, PLLC Anesthesiology Past Accepting new patients

Locations

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457396640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 MEMORIAL DR",
            "address_2": "SUITE 108",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434523",
            "telephone_number": "931-551-1795",
            "fax_number": "931-551-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "931-551-1795",
            "fax_number": "931-551-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEROLIS",
        "first_name": "JULIE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD40976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.