Active NPI
Erin Ann Jolly
- Family Nurse Practitioner
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP144235
- Practice address
- 1631 Gordon Hwy Ste 17a
Augusta, GA 30906-2229 - Phone
- (706) 230-7006
- Fax
- (762) 257-7442
- NPI assigned
- Sep 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60241217 | WA | |
| Family Nurse Practitioner | 363LF0000X | APRN-NP144235 | GA | Primary |
Addresses
Primary practice location
1631 Gordon Hwy Ste 17a
Augusta, GA 30906-2229
Mailing address
PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730
Other practice location 1
818 Saint Sebastian Way Ste 104
Augusta, GA 30901-2652
Phone (706) 434-0130
Other practice location 2
1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-7855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60241217 | WA | MD | Nurse Practitioner |
| APRN-NP144235 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health of Georgia PC | Nurse Practitioner | Current | Accepting new patients |
| Umg General Surgery LLC | Current | Accepting new patients |
Locations
818 Saint Sebastian Way
Ste 104
Augusta, GA 30901
Phone (706) 434-0130
1631 Gordon Hwy
Ste 17A
Augusta, GA 30906
Phone (706) 230-7006
2500 University Dr
Thomson, GA 30824
Phone (706) 595-1186
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Stone Mountain, GA
- NPI 1588258024
Nurse Practitioner
-
- Surgery Physician
- Thomson, GA
- NPI 1306250907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1689777666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740015",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740015",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 GORDON HWY STE 17A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309062229",
"telephone_number": "706-230-7006",
"fax_number": "762-257-7442"
}
],
"practiceLocations": [
{
"address_1": "818 Saint Sebastian Way Ste 104",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012652",
"country_code": "US",
"telephone_number": "706-434-0130",
"fax_number": "706-434-0131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Walton Way",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012612",
"country_code": "US",
"telephone_number": "706-774-7855",
"fax_number": "706-774-8620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOLLY",
"first_name": "ERIN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60241217",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP144235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.