DR. JERRY STEPHEN KROLL (NPI# 1386837896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386837896 |
| Entity Type | Individual |
| Full Name | DR. JERRY STEPHEN KROLL |
| Credential | M.D. |
| Practice Address |
5445 Meridian Marks Rd Ne Suite 250 Atlanta GA 30342-4763 |
| Mailing Address |
5445 Meridian Marks Rd Ne Ste 250 Atlanta GA 30342-4767 |
| Practice Telephone | 4042551933 |
| Practice Fax Number | 4042567924 |
| Mailing Telephone | 4042551933 |
| Mailing Fax Number | 4042567924 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2012-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
062735 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 686909673C | 05 |
| Street Address |
5445 MERIDIAN MARKS RD NE SUITE 250 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053816 | Kathryn Horton Jackson | Pharmacist | 5445 Meridian Marks Rd Ne, Suite 190, Atlanta, GA 30342-4763 | 2005-09-13 |
| 1265772776 | Keri Liles | Physician Assistant | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2013-02-20 |
| 1225375652 | Brain Stimullation Clinic, LLC | Health Maintenance Organization | 5445 Meridian Marks Rd Ne, Suite 370, Atlanta, GA 30342-4763 | 2013-01-04 |
| 1487926440 | Kirsten Halle Warnock | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2012-02-06 |
| 1073881777 | Veronica Hill | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Suite 250, Atlanta, GA 30342-4763 | 2011-12-08 |
| 1851607220 | Ashley S Reid | Registered Nurse | 5445 Meridian Marks Rd Ne, Suite 350, Atlanta, GA 30342-4763 | 2010-08-24 |
| 1659682789 | Melanie L. Turco | Nurse Practitioner | 5445 Meridian Marks Rd Ne, Ste 430, Atlanta, GA 30342-4763 | 2010-06-23 |
| 1689818312 | Piedmont Ear Nose & Throat Associates | Otolaryngology | 5445 Meridian Marks Rd Ne, Suite 125, Atlanta, GA 30342-4763 | 2009-04-24 |
| 1437319134 | Pediatric Eye Consultants of Atlanta, LLC | Ophthalmology | 5445 Meridian Marks Rd Ne, Suite 220, Atlanta, GA 30342-4763 | 2008-06-16 |
| 1689840852 | Childrens Care Pediatrics, PC | Pediatrics | 5445 Meridian Marks Rd Ne, Suite380, Atlanta, GA 30342-4763 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225457518 | Ashley Brouillette | Pediatrics | 5445 Meridian Marks Rd Ste 250, Atlanta, GA 30342 | 2014-04-15 |
| 1942527932 | Steven Perry Schulenborg | Pediatrics | 6 Executive Park Dr Ne, Suite 10, Atlanta, GA 30329-2221 | 2010-04-29 |
| 1023039807 | Jeffrey W. Webb | Pediatrics | 59 Executive Park S, Atlanta, GA 30329-2208 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781768 | Ally Nicole Herrington | Pediatrics | 1275 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2020-08-19 |
| 1962845099 | Armand Monsour Scurfield | Pediatrics | 175 White St Nw Ste 200, Marietta, GA 30060-7901 | 2013-04-08 |
| 1245278159 | Diane Z Weems | Pediatrics | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2006-06-03 |
| 1528040458 | William Angelo Primos Jr. | Pediatrics | 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | 2005-11-16 |
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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.