Bobby Lynn Jolly, ADMINISTRATOR

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5816 Willow Point Dr
Morganton, NC 28655-8602

Phone

(828) 390-4370

Fax

(828) 391-1207

NPI assigned

Dec 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carolina Family Care Home LLC

  • Assisted Living Facility
  • Morganton, NC
  • NPI 1013199413
  NPD Authorized official
• Carolina Family Care Home LLC

  • Adult Mental Health Clinic/Center
  • Morganton, NC
  • NPI 1285890145
  NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1760666291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CHARLES AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559059",
            "telephone_number": "828-390-3970",
            "fax_number": "828-391-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 WILLOW POINT DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558602",
            "telephone_number": "828-390-4370",
            "fax_number": "828-391-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "BOBBY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Duvall Johnson
• Lexi Chimera Johnson, RD
• Lisa Dobson Johnson
• Lucas McKinley Johnson
• Thomas George Johnson Jr., DDS
• Justin Jonas, NP
• Sarah Estridge Jonas, DNP, FNP-C
• Jones Drug Inc (Jones Drugs)
• Cynthia Jean Jones, RPH
• Sean Mathew Jones, D.O.

• Community Health Worker in Morganton, NC
• Providers in Morganton, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.