TINA JOLLY (MSN, APRN, NP-C) – Family Nurse Practitioner, NPI 1619412004
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for TINA JOLLY (MSN, APRN, NP-C)
Taylor Regional Hospital, 222, Perry Highway, Hawkinsville, Pulaski County, Georgia, 31036, United States
HAWKINSVILLE, GA 310366748
Phone: (478) 783-4080
Type: Mailing
165 BLUE RIDGE OVERLOOK
BLUE RIDGE, GA 305134431
Phone: (706) 946-5607
Fax: (706) 374-7628
Type: Mailing
PO BOX 317
WRIGHTSVILLE, GA 310960317
Phone: (478) 864-3448
Fax: (478) 864-1288
Type: Mailing
107 FAIRVIEW PARK DR
DUBLIN, GA 310212501
Phone: (478) 272-3446
Fax: (478) 864-1288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $595.
Total Amount is formed as General ($595) + Research ($0) + Ownership ($0) = $595.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($152).
Total Amount
$595
General + Research + Ownership
Payments
27
Total payment records
General Amount
$595
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $152 |
| Exact Sciences Corporation | $85 |
| GlaxoSmithKline, LLC. | $84 |
| AstraZeneca Pharmaceuticals LP | $60 |
| Lilly USA, LLC | $44 |
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: 2021-11-18
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 |
|---|---|---|---|---|
| I20211118002296 | I | Nurse Practitioner | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31036)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| P O D I A T R Y | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA |
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