Thomas Jolly (NPI# 1922069079, PAC ID# 7012978992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922069079 |
| PAC ID by PECOS | 7012978992 |
| Professional Enrollment ID | I20071205000574 |
| Full Name | Thomas Jolly |
| Address |
2801 Lyndhurst Ave Winston Salem NC 27103-4109 |
| Gender | M |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2801 Lyndhurst Ave, Winston Salem, NC 27103-4109 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
2801 LYNDHURST AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-4109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F Folds | Family Practice | Club Haven Family Practice Pa | 2801 Lyndhurst Ave, Winston-salem, NC 27103-4109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WINSTON SALEM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas Jolly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.