DR. DAVID B JOLLY MD
NPI 1518279173
Internal Medicine in Southaven, MS
About Dr. David B Jolly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID B JOLLY MD (NPI 1518279173) is an individual internal medicine provider in Southaven, Mississippi, licensed in Mississippi (22868) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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. David B Jolly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show David Jolly reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pontotoc, MS 38863
- Reassigned Medicare billing, Mississippi enrollment
- 44 clinicians in this Medicare group
Amory, MS 38821
- Reassigned Medicare billing, Mississippi enrollment
- 107 clinicians in this Medicare group
West Point, MS 39773
- Reassigned Medicare billing, Mississippi enrollment
- 103 clinicians in this Medicare group
West Point, MS 39773
- Reassigned Medicare billing, Mississippi enrollment
- 53 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 109 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38671 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.
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
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 David Jolly's NPI number?
The NPI number for David Jolly is 1518279173. It was assigned to this individual provider in the NPPES registry on July 11, 2010.
Where is David Jolly located?
David Jolly practices at 7601 Southcrest Pkwy, Southaven, MS 38671. The listed phone number is (662) 772-2980.
What is David Jolly's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is David Jolly enrolled in Medicare?
Yes. David Jolly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for David Jolly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Jolly reassigns Medicare benefits to 5 organizations: Relias Hospitalist Medicine Specialists Of Pontotoc LLC (Pontotoc, MS), Relias Emergency Medicine Specialists Of Amory, LLC (Amory, MS), Relias Emergency Medicine Specialists Of West Point, LLC (West Point, MS), Relias Hospitalist Medicine Specialists Of West Point LLC (West Point, MS) and Rh Mississippi Hospitalist Medicine, LLC (Jackson, MS). 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 David Jolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Jolly accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare and Molina Healthcare list David 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 David Jolly was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. David B Jolly, MD · NPI 1518279173
Internal Medicine physician in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since July 11, 2010.
## Identity
- **NPI:** 1518279173 (Entity type: Individual)
- **Enumerated:** July 11, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 22868 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 7601 SOUTHCREST PKWY, Southaven, MS 38671-4739
- **Phone:** (662) 772-2980 · **Fax:** (662) 772-3102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Relias Hospitalist Medicine Specialists Of Pontotoc LLC (NPI 1972189330, Pontotoc, MS); Relias Emergency Medicine Specialists Of Amory, LLC (NPI 1265074769, Amory, MS); Relias Emergency Medicine Specialists Of West Point, LLC (NPI 1275172736, West Point, MS); Relias Hospitalist Medicine Specialists Of West Point LLC (NPI 1821638578, West Point, MS); Rh Mississippi Hospitalist Medicine, LLC (NPI 1891541207, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1518279173) · Data from the CMS NPPES public registry.