MS. JULIA PENDERGRAST BERRY (NPI# 1285990317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285990317 |
| Entity Type | Individual |
| Full Name | MS. JULIA PENDERGRAST BERRY |
| Other Name | JULIA BRADFIELD PENDERGRAST |
| Credential | NP-C |
| Practice Address |
1875 Century Blvd Ne Suite 150 Atlanta GA 30345-3325 |
| Mailing Address |
136 Madison Ave Decatur GA 30030-3540 |
| Practice Telephone | 4046334595 |
| Practice Fax Number | 4046336637 |
| Mailing Telephone | 4043130594 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2017-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN186162 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053966713 | Julia Elizabeth Berry | Physical Therapist | 3441 Alma St Ste 200, Palo Alto, CA 94306-3508 | 2019-08-08 |
| 1124536735 | Julia Jane Berry | Pharmacist | 9900 Alternate A1a, Palm Beach Gardens, FL 33410-4903 | 2018-01-17 |
| 1356738058 | Julia Denise Berry | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2015-04-20 |
| 1477681740 | Julia Patricia Berry | Optometrist | 415 Parsippany Rd, Parsippany, NJ 07054-5192 | 2007-03-01 |
| 1841367125 | Julia L Berry | Dental Assistant | 822 Ne 181st Ave, Portland, OR 97230-6708 | 2006-11-29 |
| Street Address |
1875 CENTURY BLVD NE SUITE 150 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891741773 | Ingrid S Van Orden | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-05-25 |
| 1316220130 | Raseefa Anwar | Pediatrics | 1875 Century Blvd Ne, Pediatrics, Atlanta, GA 30345-3325 | 2011-09-28 |
| 1144425588 | Jessalyn Elizabeth Meeks | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3325 | 2007-06-16 |
| 1821208026 | Jennifer Shu | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2007-05-23 |
| 1497865935 | Childfren's Medical Group, P.C. | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-08-30 |
| 1326088436 | Nancy F Cherson | Physician Assistant | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| 1528008604 | Christine Y Furr | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| 1265472351 | Kevin J Colton | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| 1083654008 | James S Cox | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| 1538109897 | Suzanne Mohiuddin | Nurse Practitioner | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
| 1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
| 1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
| 1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
| 1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
| 1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
| 1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.