Individual provider Active NPI

Brandie Romandia Jolly, NP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1396170361
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-125063 Issued in AL
Practice address
7065 Sydney Curv
Montgomery, AL 36117-3509
Phone
(334) 323-4000
Fax
(334) 386-1479
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-125063 AL Primary

Addresses

Primary practice location

7065 Sydney Curv
Montgomery, AL 36117-3509

Mailing address

100 Capitol Commerce Blvd
Suite 250
Montgomery, AL 36117-4260
Phone (334) 386-1432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20131125001169 AL Practitioner - Nurse Practitioner 6608002514 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians
Mobile Emergency Physicians, LLC.Group PAC ID 4981840832, 11 clinicians

Practice addresses (Care Compare)

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 633-1000

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-125063ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Emergency Physicians, LLC CurrentSince Jul 1, 2022 Accepting new patients
Community Hospital Inc CurrentSince Aug 16, 2014 Accepting new patients
Community Hospital Inc CurrentSince Aug 16, 2014 Accepting new patients
Inpatient Consultants of Alabama, Inc CurrentSince Jul 1, 2022 Accepting new patients
Emergency Services of Montgomery PC CurrentSince Dec 1, 2013 Accepting new patients
Paragon Contracting Services LLC CurrentSince Jun 14, 2021 Accepting new patients
Community Hospital Inc Current Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: brandie.jolly@direct.baptistfirst.org

Organizations & group practices 7

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1396170361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAPITOL COMMERCE BLVD",
            "address_2": "SUITE 250",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174260",
            "telephone_number": "334-386-1432",
            "fax_number": "334-386-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 SYDNEY CURV",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173509",
            "telephone_number": "334-323-4000",
            "fax_number": "334-386-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "BRANDIE",
        "middle_name": "ROMANDIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-125063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.