JOLLY THOMAS – Adult Health Nurse Practitioner, NPI 1376914184
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for JOLLY THOMAS
1733 BERGEN ST
PHILADELPHIA, PA 191521811
Phone: (267) 237-4350
Type: Mailing
1600 W GIRARD AVE
PHILADELPHIA, PA 191301615
Phone: (215) 787-9000
Type: Location
1525 GRAYSON HWY APT 1905
GRAYSON, GA 300171907
Phone: (267) 237-4350
Type: Mailing
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 300467694
Phone: (678) 312-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2020-10-22
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 |
|---|---|---|---|---|
| I20201022002189 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 82 | 79 | $0 |
Insurance plans in this area (ZIP 19152)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| H O S P I T A L I S T | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA | |
| - | GA | |
| Hospice/Palliative Care, Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | TN | |
| - | GA | |
| H O S P I T A L I S T | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.