Active NPI
James Jolly, NP
- Nurse Practitioner
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP16455
- Practice address
- 400 W Mineral King Ave
Visalia, CA 93291-6237 - Phone
- (559) 624-2215
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP16455 | CA | Primary |
Addresses
Primary practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
Mailing address
2100 Powell St
Ste 900
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other practice location 1
5920 West Mall
Atascadero, CA 93422-4232
Phone (805) 466-0676
Other practice location 2
877 Oak Park Blvd
Pismo Beach, CA 93449-3292
Phone (805) 474-8450
Other practice location 3
2271 S Depot St
Santa Maria, CA 93455-1216
Phone (805) 922-0561
Other practice location 4
217 W Central Ave Ste G
Lompoc, CA 93436-2830
Phone (805) 735-4292
Other practice location 5
1102 E Clark Ave Ste 120A
Santa Maria, CA 93455-5175
Phone (805) 332-8185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1521 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-3124
Phone (423) 458-1426
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP16455 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| DX Mso, PLLC | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Afc Urgent Care and Family Care of WNC, PLLC | Past | Accepting new patients |
Locations
345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
1521 Gunbarrel Rd
#103
Chattanooga, TN 37421
Phone (423) 531-0911
1521 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
Interoperability endpoints
- jjolly398971@direct.stlukeshealth.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.
-
- Emergency Care Clinic/Center
- Hixson, TN
- NPI 1427264126
-
- Emergency Care Clinic/Center
- Chattanooga, TN
- NPI 1174739908
-
dba Dignity Health Women's Center - Southwest
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
-
dba Afc Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1760495535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237",
"telephone_number": "559-624-2215"
}
],
"practiceLocations": [
{
"address_1": "5920 West Mall",
"address_purpose": "LOCATION",
"city": "Atascadero",
"state": "CA",
"postal_code": "934224232",
"country_code": "US",
"telephone_number": "805-466-0676",
"fax_number": "805-466-4862",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "877 Oak Park Blvd",
"address_purpose": "LOCATION",
"city": "Pismo Beach",
"state": "CA",
"postal_code": "934493292",
"country_code": "US",
"telephone_number": "805-474-8450",
"fax_number": "805-474-8454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2271 S Depot St",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934551216",
"country_code": "US",
"telephone_number": "805-922-0561",
"fax_number": "805-922-0083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "217 W Central Ave Ste G",
"address_purpose": "LOCATION",
"city": "Lompoc",
"state": "CA",
"postal_code": "934362830",
"country_code": "US",
"telephone_number": "805-735-4292",
"fax_number": "805-735-4293",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 E Clark Ave Ste 120A",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934555175",
"country_code": "US",
"telephone_number": "805-332-8185",
"fax_number": "805-332-8186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOLLY",
"first_name": "JAMES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP16455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.