Individual provider Active NPI

Puneet Singh Jolly, MD/PHD

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1336376755
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2010-00235 Issued in NC
Practice address
410 Market St Ste 400
Chapel Hill, NC 27516-4061
Phone
(919) 966-2485
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2010-00235 NC Primary

Addresses

Primary practice location

410 Market St Ste 400
Chapel Hill, NC 27516-4061

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491

Other practice location 1

480 W Webb Ave
Burlington, NC 27217-3700
Phone (336) 226-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pjolly12394@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000257 NC Practitioner - Dermatology 9032375639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

2201 Old NC Hwy 86
Hillsborough, NC 27278-8785
Phone (984) 974-3900

3921 Sunset Ridge Rd
Suite 202
Raleigh, NC 27607-6677
Phone (984) 974-3900

410 Market St
Chapel Hill, NC 27516-4061

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions565
Removal or shaving of skin growth17
Skin biopsy56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2012 Accepting new patients
University of North Carolina at Chapel Hill Dermatology CurrentSince Jul 1, 2012 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

1522 Vaughn Rd
Burlington, NC 27217
Phone (336) 212-5103

480 W Webb Ave
Burlington, NC 27217
Phone (336) 226-8000

410 Market St
Ste 400
Chapel Hill, NC 27516
Phone (919) 966-2485

410 Market St
Ste 362
Chapel Hill, NC 27516
Phone (984) 974-6688

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

410 Market St
Ste 400A
Chapel Hill, NC 27516
Phone (984) 974-3900

2201 Old NC Highway 86
Hillsborough, NC 27278
Phone (910) 818-4606

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

3921 Sunset Ridge Rd
Ste 202
Raleigh, NC 27607
Phone (919) 783-7877

Interoperability endpoints

  • Direct secure messaging: pjolly12394@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1336376755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MARKET ST STE 400",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164061",
            "telephone_number": "919-966-2485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 W Webb Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272173700",
            "country_code": "US",
            "telephone_number": "336-226-8000",
            "fax_number": "336-228-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "PUNEET",
        "middle_name": "SINGH",
        "credential": "MD/PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2010-00235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjolly12394@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "410 Market St Ste 400",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275164061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.