JOLLY THOMAS
NPI 1376914184
Nurse Practitioner - Adult Health in Lawrenceville, GA
About Jolly Thomas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLLY THOMAS (NPI 1376914184) is an individual adult health provider in Lawrenceville, Georgia, licensed in Georgia (RN285678) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jolly Thomas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jolly Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 771 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 1376914184. It was assigned to this individual provider in the NPPES registry on October 20, 2015.
Where is Jolly Thomas located?
Jolly Thomas practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-1000.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jolly Thomas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jolly Thomas reassigns Medicare benefits to 2 organizations: North Atlanta Professional Services LLC (Atlanta, GA) and Grady Memorial Hospital Corporation (Atlanta, GA). 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 Jolly Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jolly Thomas accept?
Health plans from Ambetter Health and Oscar Health list Jolly Thomas 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.
Is Jolly Thomas affiliated with any hospitals?
According to CMS data, Jolly Thomas is affiliated with Northside Hospital Gwinnett.
When was this NPI record last updated?
The NPPES record for Jolly Thomas was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jolly Thomas · NPI 1376914184
Adult Health physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since October 20, 2015.
## Identity
- **NPI:** 1376914184 (Entity type: Individual)
- **Enumerated:** October 20, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN285678 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046-7694
- **Phone:** (678) 312-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); Grady Memorial Hospital Corporation (NPI 1114243813, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376914184) · Data from the CMS NPPES public registry.