MRS. JOLLY MARIA THOMAS (NPI# 1033777826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033777826 |
| Entity Type | Individual |
| Full Name | MRS. JOLLY MARIA THOMAS |
| Other Name | JOLLY AUGUSTINE POTTAMMEL |
| Credential | NP |
| Practice Address |
1867 Anthony Nane Ct Lawrenceville GA 30043-3991 |
| Practice Telephone | 4042133698 |
| Mailing Telephone | 4042133698 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN190105 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN190105 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790862100 | Jolly Thomas | Pediatrics | 18 Morris Ave Ste 2a, Springfield, NJ 07081-1455 | 2006-11-01 |
| 1992717417 | Jolly Thomas | Family Medicine | 801 E. Dixie Avenue, Suite 101, Leesburg, FL 34748 | 2006-08-13 |
| 1376914184 | Jolly Thomas | Registered Nurse | 1600 W Girard Ave, Philadelphia, PA 19130-1615 | 2015-10-20 |
| 1811961519 | Jolly Thomas | Nurse Practitioner | 1936 Amelia Ct, Geriatric Center & Senior Services, Dallas, TX 75235-7706 | 2006-02-17 |
| Street Address |
1867 ANTHONY NANE CT |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548292667 | Bonnie J Cross | Nurse Practitioner | Rr #3 Box 414, Lawrenceville, IL 62439 | 2006-07-07 |
| 1770515728 | Kimothy Ann Fulk | Nurse Practitioner | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2006-07-07 |
| 1912533548 | Frankie Ann Mitchell | Nurse Practitioner | 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043-2822 | 2020-03-16 |
| 1003454687 | Katherine Elaine Campbell Thomas | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2019-12-14 |
| 1902376197 | Elizabeth Ann Tursi | Nurse Practitioner | 168 Franklin Corner Rd Bldg 1, Lawrenceville, NJ 08648-2529 | 2018-11-29 |
| 1114443967 | Kristen Copeland | Nurse Practitioner | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2017-08-14 |
| 1093260564 | Rebeca C Klatt | Nurse Practitioner | 631 Professional Dr, Suite 450, Lawrenceville, GA 30046-3367 | 2016-08-24 |
| 1942619093 | Elizabeth Ann Ziegler | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2014-08-02 |
| 1558795229 | Marguerite Horen Bobon | Nurse Practitioner | 631 Professional Dr Ste 360, Lawrenceville, GA 30046-3370 | 2013-08-29 |
| 1992045462 | Rachel Elizabeth Nejem | Nurse Practitioner | 771 Old Norcross Rd Ste 200, Lawrenceville, GA 30046-4980 | 2013-02-21 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on MRS. JOLLY MARIA THOMAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.