MRS. JOLLY MARIA THOMAS NP
NPI 1033777826
Nurse Practitioner - Adult Health in Lawrenceville, GA

Q: What is Jolly Thomas's NPI number?

The NPI number for Jolly Thomas is 1033777826. It was assigned to this individual provider in the NPPES registry on June 5, 2019. The provider is also known as Jolly Augustine Pottammel Msn.

Q: What is Jolly Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jolly Thomas was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2019PECOS Enrolled

1867 ANTHONY NANE CT, LAWRENCEVILLE, GA 30043(404) 213-3698 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Jolly Maria Thomas Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JOLLY MARIA THOMAS NP (NPI 1033777826) is an individual adult health provider in Lawrenceville, Georgia, licensed in Georgia (RN190105) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033777826

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. JOLLY MARIA THOMASCredential: NP

Location Address1867 ANTHONY NANE CTLawrenceville, GA 30043-3991

Mailing Address1867 Anthony Nane CtLawrenceville, GA 30043-3991 · (404) 213-3698

Phone(404) 213-3698

Sole ProprietorYes

Enumeration DateJune 5, 2019

✔ NPI 1033777826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · RN190105

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN190105 (GA)

1867 ANTHONY NANE CT, Lawrenceville, GA 30043

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Other Names 1

Former Name (1)Jolly Augustine Pottammel Msn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jolly Maria Thomas Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jolly Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Joseph's Mercy Care Services, Inc.

23 mi

Federally Qualified Health Center (FQHC)

5134 PEACHTREE RD
Chamblee, GA 30341

Reassigned Medicare billing, Georgia enrollment
64 clinicians in this Medicare group

NPI 1568818151 (678) 843-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jolly Thomas's NPI number?

The NPI number for Jolly Thomas is 1033777826. It was assigned to this individual provider in the NPPES registry on June 5, 2019. The provider is also known as Jolly Augustine Pottammel Msn.

Where is Jolly Thomas located?

Jolly Thomas practices at 1867 Anthony Nane Ct, Lawrenceville, GA 30043. The listed phone number is (404) 213-3698.

What is Jolly Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jolly Thomas enrolled in Medicare?

Yes. Jolly Thomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jolly Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jolly Thomas reassigns Medicare benefits to Saint Joseph's Mercy Care Services, Inc. (Chamblee, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jolly Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jolly Thomas was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.