BROUGHTON D JOLLEY (MD) – Anesthesiology Physician, NPI 1235130717
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,040 ANESTHESIOLOGY in TN
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Provider Addresses for BROUGHTON D JOLLEY (MD)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303535510
Phone: (844) 294-5114
Fax: (865) 691-0843
Type: Mailing
West Ravine Road, Nelsontown, Kingsport, Sullivan County, Tennessee, 37660, United States
SUITE 5-B
KINGSPORT, TN 376603847
Phone: (423) 224-3460
Fax: (423) 224-3465
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: 2010-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100920000758 | I | Anesthesiology | TN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 14 | 14 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 13 | 13 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30353)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | GA | |
| - | MO | |
| - | NC | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | OK |
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