Organization Active NPI

Kroll Care, PC

  • Pain Medicine Physician
  • Woodstock, GA
National Provider Identifier
1598153371
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
KROLL CARE, PC
Practice address
290 Heritage Walk
Suite 102
Woodstock, GA 30188-6402
Phone
(678) 273-3456
Fax
(404) 596-5333
NPI assigned
Jan 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Michael Kroll, MD
Title
Owner
Phone
(404) 242-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

290 Heritage Walk
Suite 102
Woodstock, GA 30188-6402

Mailing address

290 Heritage Walk
Suite 102
Woodstock, GA 30188-6402
Phone (678) 273-3456

National Provider Directory

National Provider Directory

Locations

1110 Olympic Ave
Dalton, GA 30720
Phone (678) 273-3456

290 Heritage Walk
Ste 102
Woodstock, GA 30188
Phone (678) 273-3456

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1598153371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 HERITAGE WALK",
            "address_2": "SUITE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886402",
            "telephone_number": "678-273-3456",
            "fax_number": "404-596-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HERITAGE WALK",
            "address_2": "SUITE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886402",
            "telephone_number": "678-273-3456",
            "fax_number": "404-596-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROLL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-242-3301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.