JULIA PERRY WUTZ – Gerontology Nurse Practitioner, NPI 1063380558

JULIA PERRY WUTZ is a healthcare provider. based in Cartersville, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN220003 (GA). The NPI Number for JULIA PERRY WUTZ is 1063380558

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JULIA PERRY WUTZ
NPI
1063380558
Phone
(770) 382-0114
Address
11 Charley Harper Dr SE Ste 170
Enumeration Date
27 October 2025
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7372266700
Graduation Year
2025 (1 year ago)
PAC ID
8628564184
Group Practice PAC ID
9133304603
Professional Enrollment ID
I20260105001975
Address ID
GA309044334AU2122XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JULIA PERRY WUTZ

  • 11 Charley Harper Dr SE Ste 170

    Cartersville, GA 301201127

    Phone: (770) 382-0114

    Type: Location

  • 119 HILTON WAY

    CANTON, GA 301146012

    Phone: (678) 923-3918

    Type: Mailing

  • 4255 WADE GREEN RD NW STE 320

    KENNESAW, GA 301441811

    Phone: (770) 423-1316

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260105001975INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133304603View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm JULIA PERRY WUTZ's NPI?
Yes. JULIA PERRY WUTZ is listed with NPI 1063380558 in the public NPI dataset.
Can I rely on JULIA PERRY WUTZ being an active provider?
As of the registry snapshot, JULIA PERRY WUTZ is marked active.
What healthcare role does JULIA PERRY WUTZ hold?
Scheduling teams often label JULIA PERRY WUTZ under Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does JULIA PERRY WUTZ serve?
JULIA PERRY WUTZ's listing highlights Cartersville, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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