Tina Jolly, MSN, APRN, NP-C in Dublin, GA - Medicare Nurse Practitioner

Tina Jolly, MSN, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Dublin, Georgia. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Georgia Mountains Health Services, Inc. and her current practice location is 107 Fairview Park Dr, Dublin, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 272-3446.

Tina Jolly is licensed to practice in Georgia (license number RN139653) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619412004.

Contact Information

	Tina Jolly, MSN, APRN, NP-C
	107 Fairview Park Dr, Dublin, GA 31021-2501
	(478) 272-3446
	(478) 864-1288

Map and Direction

Provider's Profile

Full Name	Tina Jolly
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	107 Fairview Park Dr, Dublin, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tina Jolly graduated from nursing school in 2016

NPI Data:

NPI Number: 1619412004
Provider Enumeration Date: 12/21/2016
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 0648669341
Enrollment ID: I20211118002296

Medical Identifiers

Medical identifiers for Tina Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619412004	NPI	-	NPPES
1619412004	Medicaid	NC
Q071116	Medicaid	TN
003151473D	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN139653 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Union General Hospital	Blairsville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Georgia Mountains Health Services, Inc.	7719974831	17

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tina Jolly allows following entities to bill medicare on her behalf.

Entity Name	Georgia Mountains Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538123666 PECOS PAC ID: 7719974831 Enrollment ID: O20040429000383

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Jolly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tina Jolly, MSN, APRN, NP-C Po Box 317, Wrightsville, GA 31096-0317 Ph: (478) 864-3448	Tina Jolly, MSN, APRN, NP-C 107 Fairview Park Dr, Dublin, GA 31021-2501 Ph: (478) 272-3446

Reviews and Comments

Nurse Practitioner Nurses in Dublin, GA

Mrs. Tabitha Hendrix Mullis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Corporate Sq, Dublin, GA 31021 Phone: 478-205-5177 Fax: 478-205-5180
Mrs. Tamara Kate Mccullars, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd Ste 23, Dublin, GA 31021 Phone: 478-272-8580 Fax: 478-275-0012
Shannon Gay, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Fairview Park Dr # 200, Dublin, GA 31021 Phone: 478-246-2264
Mrs. Jacquelyn S Purser, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2121a Bellevue Rd, Dublin, GA 31021 Phone: 478-272-1190 Fax: 478-275-6509
Charisse Holmes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Bellevue Rd Ste 2, Dublin, GA 31021 Phone: 478-272-8580
Kimberly Smith Withrow, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 Hillcrest Pkwy Ste 1, Dublin, GA 31021 Phone: 478-272-8140
Demi Sharice Murray, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-290-5984

Tina Jolly, MSN, APRN, NP-C - Medicare Nurse Practitioner in Dublin, GA