KELLY JOLLY
NPI 1174218622
Nurse Practitioner - Pediatrics in Birmingham, AL

Active since April 10, 2023PECOS Enrolled
1600 7TH AVE S, BIRMINGHAM, AL 35233(205) 249-4542 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, Apr 10, 2023 (2 updates tracked since 2023).

About Kelly Jolly NPPES

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

KELLY JOLLY (NPI 1174218622) is an individual pediatrics provider in Birmingham, Alabama, licensed in Alabama (1-100459) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174218622
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY JOLLY
Location Address1600 7TH AVE SBirmingham, AL 35233-1711
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorYes
Enumeration DateApril 10, 2023
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1174218622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in AL · 1-100459
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-100459 (AL)
1600 7TH AVE S, Birmingham, AL 35233

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Jolly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Critical Care Medicine)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
1600 7TH AVE S
BIRMINGHAM, AL 35233
Hospitalist
1600 7TH AVE S
BIRMINGHAM, AL 35233
Rehabilitation Unit
1600 7TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, LOWDER BLDG., SUITE 618
BIRMINGHAM, AL 35233
Pediatrics
1600 7TH AVE S, MCWANE BUILDING SUITE 108
BIRMINGHAM, AL 35233
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, CHILDRENS OF ALABAMA
BIRMINGHAM, AL 35233

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 Kelly Jolly's NPI number?

The NPI number for Kelly Jolly is 1174218622. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Kelly Jolly located?

Kelly Jolly practices at 1600 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 249-4542.

What is Kelly Jolly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Jolly enrolled in Medicare?

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

What insurance does Kelly Jolly accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kelly Jolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Jolly was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.