Individual provider Active NPI

Faith W Jolly, CRNP

  • Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1306122106
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-102389 Issued in AL
Practice address
4810 Bell Hill Rd
Bessemer, AL 35022-6948
Phone
(205) 477-3737
Fax
(205) 477-0373
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-102389 AL Primary

Addresses

Primary practice location

4810 Bell Hill Rd
Bessemer, AL 35022-6948

Mailing address

4810 Bell Hill Rd
Bessemer, AL 35022-6948
Phone (205) 477-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Creek Medical Center CurrentSince Apr 1, 2007 Accepting new patients

Locations

4810 Bell Hill Rd
Bessemer, AL 35022
Phone (205) 426-3737

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1306122106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BELL HILL RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226948",
            "telephone_number": "205-477-3737",
            "fax_number": "205-477-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BELL HILL RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226948",
            "telephone_number": "205-477-3737",
            "fax_number": "205-477-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "FAITH",
        "middle_name": "W",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-102389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.