DR. KELLIE A JOLLEY (MD) – Internal Medicine Physician, NPI 1659356236

DR. KELLIE A JOLLEY (MD) is a healthcare provider. based in Chattanooga, Tennessee. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 30471 (TN). The NPI Number for DR. KELLIE A JOLLEY (MD) is 1659356236

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLIE A JOLLEY (MD)
NPI
1659356236
Phone
(423) 698-2435
Address
2205 MCCALLIE AVE
Enumeration Date
7 December 2005
Last Update Date
10 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
4486611480
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20041210000851
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
KELLIE.JOLLEY@hca1.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,527 INTERNAL MEDICINE in TN

Provider Addresses for DR. KELLIE A JOLLEY (MD)

  • 2205, McCallie Avenue, Highland Park, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    CHATTANOOGA, TN 374043230

    Phone: (423) 698-2435

    Fax: (423) 697-6110

    Type: Mailing

  • 1700 BROAD ST STE 140

    CHATTANOOGA, TN 374081834

    Phone: (423) 493-5240

    Fax: (423) 493-5241

    Type: Location

  • 4976 ALPHA LN

    HIXSON, TN 373435470

    Phone: (423) 497-5355

    Fax: (423) 308-0281

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 248 Open Payments records for all available years, with a total value of $4,341.

Total Amount is formed as General ($4,341) + Research ($0) + Ownership ($0) = $4,341.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($906).

Total Amount

$4,341

General + Research + Ownership

Payments

248

Total payment records

General Amount

$4,341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-12-10

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
I20041210000851IInternal MedicineTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes767322$0
36415Insertion of needle into vein for collection of blood sample656353$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count467340$0
99213Established patient office or other outpatient visit, 20-29 minutes394248$0
80053Blood test, comprehensive group of blood chemicals363328$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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Provider's Procedures

DR. KELLIE A JOLLEY (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETN83036Hemoglobin A1C level16785
INTERNAL MEDICINETN85610Blood test, clotting time17519
INTERNAL MEDICINETN90670Pneumococcal vaccine for injection into muscle3838

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: 9032020490View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. KELLIE A JOLLEY (MD) across health systems?
The NPI 1659356236 uniquely identifies DR. KELLIE A JOLLEY (MD) in U.S. healthcare data.
Should I treat DR. KELLIE A JOLLEY (MD) as an active provider?
Patients and plans typically see DR. KELLIE A JOLLEY (MD) as active in the national extract.
Which specialty label fits DR. KELLIE A JOLLEY (MD)?
NPPES ties DR. KELLIE A JOLLEY (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KELLIE A JOLLEY (MD)?
DR. KELLIE A JOLLEY (MD) shows a connection to Chattanooga, Tennessee in registry-derived data.
Can I export DR. KELLIE A JOLLEY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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