NPIMap

Individual provider Active NPI

Stephanie Ann Jolly, MD

  • Family Medicine Physician
  • Clarksville, IN
National Provider Identifier
1821450651
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01090026A Issued in IN
Practice address
1020 Veterans Pkwy Ste 700
Clarksville, IN 47129-2390
Phone
(812) 668-8144
Fax
(877) 772-5243
NPI assigned
Mar 22, 2016
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52514 KY
Family Medicine Physician 207Q00000X 01090026A IN Primary

Addresses

Primary practice location

1020 Veterans Pkwy Ste 700
Clarksville, IN 47129-2390

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

1437 E 10th St
Jeffersonville, IN 47130-4252
Phone (812) 258-9320

Other practice location 2

6580 Kenwood Crossing Rd
Crestwood, KY 40014-7614
Phone (502) 243-3161

Other practice location 3

201 Abraham Flexner Way
Louisville, KY 40202-3841
Phone (502) 852-0132

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sjolly101340@bhkydirect.com
Direct Messaging Address stephanie.jolly.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171127002580 KY Practitioner - Family Practice 1052683430 Reassigns benefits to 2 organizations
I20241125001191 IN Practitioner - Family Practice 1052683430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana Medical College, School of Medicine of Purdue University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1020 Veterans Pkwy
Suite 700
Clarksville, IN 47129-2390
Phone (812) 668-8144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care in PC Family Medicine CurrentSince Mar 17, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Nov 27, 2017 Accepting new patients
Baptist Medical Associates Inc CurrentSince Aug 1, 2019 Accepting new patients
Centerwell Senior Primary Care in PC Family Medicine CurrentSince Mar 17, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 27, 2017 Accepting new patients
Centerwell Senior Primary Care in PC Family Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Veterans Pkwy
Ste 700
Clarksville, IN 47129
Phone (812) 668-8144

305 New Albany Plz
New Albany, IN 47150
Phone (812) 668-8133

6580 Kenwood Crossing Rd
Crestwood, KY 40014
Phone (502) 241-1660

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: stephanie.jolly.1@29601.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1821450651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 VETERANS PKWY STE 700",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292390",
            "telephone_number": "812-668-8144",
            "fax_number": "877-772-5243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1437 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471304252",
            "country_code": "US",
            "telephone_number": "812-258-9320",
            "fax_number": "812-954-0824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6580 Kenwood Crossing Rd",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "KY",
            "postal_code": "400147614",
            "country_code": "US",
            "telephone_number": "502-243-3161",
            "fax_number": "502-243-3164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Abraham Flexner Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023841",
            "country_code": "US",
            "telephone_number": "502-852-0132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "52514",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01090026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjolly101340@bhkydirect.com",
            "affiliation": "N",
            "address_1": "6580 Kenwood Crossing Rd",
            "city": "Crestwood",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400147614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.jolly.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1020 Veterans Pkwy Ste 700",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471292390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.