Individual provider Active NPI

Erin Ann Jolly

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1689777666
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP144235 Issued in GA
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

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112002541 GA Practitioner - Nurse Practitioner 6507028289 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60241217WAMDNurse Practitioner
APRN-NP144235GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Georgia PC Nurse Practitioner CurrentSince Mar 4, 2021 Accepting new patients
Umg General Surgery LLC CurrentSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.