Individual provider Active NPI

Julia Kang, M.D., M.P.H.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Johns Creek, GA
National Provider Identifier
1609329853
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
88727 Issued in GA
Practice address
10710 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-2440
Phone
(770) 629-0600
Fax
(770) 215-7522
NPI assigned
Jul 24, 2016
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 88727 GA Primary

Addresses

Primary practice location

10710 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-2440

Mailing address

10710 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-2440
Phone (770) 629-0600

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001821 GA Practitioner - Ophthalmology 3072894906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10710 Medlock Bridge Rd
Suite 150
Johns Creek, GA 30097-2440
Phone (770) 629-0600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joli Oculoplastics, LLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Oct 1, 2023 Accepting new patients
Eye Care Centers Management Inc Ophthalmology PastSince Aug 1, 2021 Accepting new patients

Locations

10710 Medlock Bridge Rd
Ste 150
Johns Creek, GA 30097
Phone (770) 497-4188

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1609329853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972440",
            "telephone_number": "770-629-0600",
            "fax_number": "770-215-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972440",
            "telephone_number": "770-629-0600",
            "fax_number": "770-215-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "88727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.