DR. JERRY STEPHEN KROLL M.D.
NPI 1386837896
Pediatrics - Sports Medicine in Atlanta, GA

Q: What is Jerry Kroll's NPI number?

The NPI number for Jerry Kroll is 1386837896. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Q: What is Jerry Kroll's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Kroll was last updated on August 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 20, 2007PECOS Enrolled

5445 MERIDIAN MARKS RD NE, SUITE 250, ATLANTA, GA 30342(404) 255-1933(404) 256-7924 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jerry Stephen Kroll M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY STEPHEN KROLL M.D. (NPI 1386837896) is an individual sports medicine provider in Atlanta, Georgia, licensed in Georgia (062735) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386837896

Entity TypeIndividualMale

Primary Taxonomy2080S0010X

Provider Legal NameDR. JERRY STEPHEN KROLLCredential: M.D.

Location Address5445 MERIDIAN MARKS RD NE, SUITE 250Atlanta, GA 30342-4763

Mailing Address5445 Meridian Marks Rd Ne Ste 250Atlanta, GA 30342-4767 · (404) 255-1933 · Fax (404) 256-7924

Phone(404) 255-1933

Fax(404) 256-7924

Sole ProprietorYes

Enumeration DateAugust 20, 2007

Last NPPES UpdateAugust 7, 2012

✔ NPI 1386837896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in GA · 062735

Definition

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.

5445 MERIDIAN MARKS RD NE, Atlanta, GA 30342

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Other Identifiers 1

Medicaid686909673CGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Stephen Kroll M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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