Corrie Rose Jolly, CPNP-PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5016404 Issued in NC

Practice address

11 Vanderbilt Park Dr
Asheville, NC 28803-1700

Phone

(828) 213-1740

NPI assigned

Jun 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mission Health Community Multispecialty Providers, LLC

  • Anesthesiology Physician
  • Asheville, NC
  • NPI 1457719130
  Medicare reassignment NPD
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766
  NPD
• Mission Health Community Multispecialty Providers, LLC

  • Internal Medicine Physician
  • Arden, NC
  • NPI 1366912586
  NPD
• Mission Community Anesthesiology Specialists LLC

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1235609538
  NPD (past)
• Southmountain Children and Family Services

  • Professional Counselor
  • Burnsville, NC
  • NPI 1669805115
  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1346971702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-213-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S Johnson St",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123707",
            "country_code": "US",
            "telephone_number": "828-547-0864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Rock Wall Ln",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "NC",
            "postal_code": "287148567",
            "country_code": "US",
            "telephone_number": "828-675-1508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "CORRIE",
        "middle_name": "ROSE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "290971",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Richards Johnston III, LPA
• James Marion Johnston, LMFT
• Lori Ann Johnston, PSY.D.
• Shannon Johnston
• Heather Michelle Jollay, PT
• Adrian Carrie Jonas, RN
• Jonathan Z Wang DDS PLLC
• Amanda Dawn Jones, LCSW
• Anna Marie Jones, MD
• Brian Edward Jones, MD

• Nurse Practitioner in Asheville, NC
• Providers in Asheville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.

Verify at the official NPI Registry.