Active NPI
Faith W Jolly, CRNP
- Nurse Practitioner
- Bessemer, AL
National Provider Identifier
1306122106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-102389
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Creek Medical Center | Current | 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.
-
- Urgent Care Clinic/Center
- Bessemer, AL
- NPI 1881721512
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.