Individual provider Active NPI

Sarah Jolly, PA-C

  • Physician Assistant
  • Mansfield, TX
National Provider Identifier
1225708514
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14992 Issued in TX
Practice address
2800 E Broad St Ste 514
Mansfield, TX 76063-6417
Phone
(817) 465-5311
Fax
(817) 465-8569
NPI assigned
Sep 17, 2021
Last updated
Nov 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14992 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 514
Mansfield, TX 76063-6417

Mailing address

2800 E Broad St Ste 514
Mansfield, TX 76063-6417
Phone (817) 465-5311

Other practice location 1

3430 W. Wheatland Rd, Suite 202
Dallas, TX 75237
Phone (972) 780-5886

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EPIC Methodist Health Systems Dallas

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012000274 TX Practitioner - Physician Assistant 3779981402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Star Orthopedic Institute LLCGroup PAC ID 7618392424, 22 clinicians

Practice addresses (Care Compare)

5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14992TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Star Orthopedic Institute, LLC CurrentSince Dec 20, 2025 Accepting new patients
Medhealth CurrentSince Oct 4, 2021 Accepting new patients
Medhealth CurrentSince Oct 4, 2021 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

3430 W Wheatland Rd
Ste 202
Dallas, TX 75237
Phone (972) 283-1800

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2800 E Broad St
Ste 514
Mansfield, TX 76063
Phone (682) 253-2986

5228 W Plano Pkwy
Plano, TX 75093
Phone (972) 250-5655

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1225708514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 514",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636417",
            "telephone_number": "817-465-5311",
            "fax_number": "817-465-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 514",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636417",
            "telephone_number": "817-465-5311",
            "fax_number": "817-465-8569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 W. Wheatland Rd, Suite 202",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75237",
            "country_code": "US",
            "telephone_number": "972-780-5886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "Y",
            "affiliationName": "Methodist Health Systems Dallas",
            "address_1": "3430 W. Wheatland Rd, Suite 202",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.