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JOLLY NEUROLOGICAL CLINIC PC
NPI 1407042922
Psychiatry & Neurology - Neurology in Wayne, MI

Active since September 18, 2007
4020 VENOY RD, 800, WAYNE, MI 48184(734) 721-6001(734) 721-6003 Get Directions Write a Review

NPPES record last updated: April 7, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jolly Neurological Clinic Pc NPPES

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

JOLLY NEUROLOGICAL CLINIC PC (NPI 1407042922) is a healthcare organization registered as a neurology in Wayne, Michigan and active in the NPI registry since September 2007. The organization lists Surindar Kumar Jolly, President, as its authorized official.

NPPES Registry Identity

NPI1407042922
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameJOLLY NEUROLOGICAL CLINIC PC
Location Address4020 VENOY RD, 800Wayne, MI 48184-1869
Mailing Address4020 Venoy Rd, 800Wayne, MI 48184-1869 · (734) 721-6001 · Fax (734) 721-6003
Phone(734) 721-6001
Fax(734) 721-6003
Organization SubpartNo
Authorized OfficialSurindar Kumar JollyPresident · (734) 721-6001
Enumeration DateSeptember 18, 2007
Last NPPES UpdateApril 7, 2009
✔ NPI 1407042922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · SJ055782
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4020 VENOY RD, Wayne, MI 48184
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Other Identifiers 4

Medicare UPINE53209MI
Medicare PIN0Q26468MI
Other130H235340MI · Blue Cross Blue Shield
Medicaid2918602MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jolly Neurological Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jolly Neurological Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Surindar Jolly, M.D.
Neurology
NPI 1164479911
4020 VENOY RD STE#800
Wayne, MI 48184
(734) 721-6001
✔ PECOS✔ Accepts MedicareSame address

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

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 Neurological Clinic PC's NPI number?

The NPI number for Jolly Neurological Clinic PC is 1407042922. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Jolly Neurological Clinic PC located?

Jolly Neurological Clinic PC is located at 4020 Venoy Rd 800, Wayne, MI 48184. The listed phone number is (734) 721-6001.

What is Jolly Neurological Clinic PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jolly Neurological Clinic PC enrolled in Medicare?

Yes. Jolly Neurological Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jolly Neurological Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Jolly Neurological Clinic PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jolly Neurological Clinic PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jolly Neurological Clinic PC 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 Jolly Neurological Clinic PC was last updated on April 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.