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DR. SAMANTHA IRENE JOLLY MD
NPI 1194220186
Emergency Medicine in Searcy, AR

Active since March 29, 2018PECOS Enrolled
3214 E RACE AVE, SEARCY, AR 72143(501) 268-6121 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2024, Sep 16, 2021, Jan 5, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Samantha Irene Jolly Md NPPES

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

DR. SAMANTHA IRENE JOLLY MD (NPI 1194220186) is an individual emergency medicine provider in Searcy, Arkansas, licensed in Arkansas (E-12915) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194220186
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SAMANTHA IRENE JOLLYCredential: MD
Location Address3214 E RACE AVESearcy, AR 72143-4810
Mailing Address3214 E Race AveSearcy, AR 72143-4810 · (501) 380-3172
Phone(501) 268-6121
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateJuly 19, 20244 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1194220186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AR · E-12915
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3214 E RACE AVE, Searcy, AR 72143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Irene Jolly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648692970
PECOS Enrollment IDI20200615002826
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 Reassignments

4

Medicare enrollment records show Samantha Jolly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

White County Medical Center
Same address
Emergency Medicine
3214 E RACE AVE
Searcy, AR 72143
  • Reassigned Medicare billing, Arkansas enrollment
  • 41 clinicians in this Medicare group
NPI 1437359742 (501) 380-2103
Unity Health - Newport
35 mi
Psychiatry
1117 MCLAIN ST STE 300
Newport, AR 72112
  • Reassigned Medicare billing, Arkansas enrollment
  • 67 clinicians in this Medicare group
NPI 1164152815 (870) 495-1260
Unity Health - Jacksonville
36 mi
Emergency Medicine
1400 BRADEN ST
Jacksonville, AR 72076
  • Reassigned Medicare billing, Arkansas enrollment
  • 37 clinicians in this Medicare group
NPI 1386359024 (501) 268-6121
Southeastern Emergency Physicians LLC
495 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Arkansas enrollment
  • 310 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
203 services191 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
112 services110 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72143 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

DR. CALEB JARRED CONRAD DO
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2216
PRABHNEET SINGH PANNU MD
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2298
RUPAK KUMAR CHOWDHURY MD
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 203-2183
SARAH RAMSEY APRN
Clinical Nurse Specialist (Psychiatric/Mental Health)
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 268-6121
DR. CAYLAN LIEW DO
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2299
COLLIE MASON SHAW
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2280
BRYCE RICHARD BROOKS DO
Student in an Organized Health Care Education/Training Program
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 380-2280
DR. JAMIE PITCOCK SMITH CRNA
Nurse Anesthetist, Certified Registered
3214 E RACE AVE
SEARCY, AR 72143
White County (501) 268-6121

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 Samantha Jolly's NPI number?

The NPI number for Samantha Jolly is 1194220186. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Samantha Jolly located?

Samantha Jolly practices at 3214 E Race Ave, Searcy, AR 72143. The listed phone number is (501) 268-6121.

What is Samantha Jolly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samantha Jolly enrolled in Medicare?

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

Which organizations bill Medicare for Samantha Jolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jolly reassigns Medicare benefits to 4 organizations: White County Medical Center (Searcy, AR), Unity Health - Newport (Newport, AR), Unity Health - Jacksonville (Jacksonville, AR) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 Samantha Jolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Jolly accept?

Health plans from Health Advantage and Octave list Samantha 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 Samantha Jolly was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.