JOLLY THOMAS M.D. – NPI #1992717417
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JOLLY THOMAS is a physician located in LEESBURG, FL. NPPES has assigned the NPI number 1992717417 to JOLLY THOMAS on August 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Oct 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOLLY THOMAS below.

NPI Profile for
JOLLY THOMAS

NPI Number
1992717417
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JOLLY THOMAS
Credentials
M.D.
Primary location
801 E. DIXIE AVENUE
SUITE 101
LEESBURG, FL 34748
Phone: (352) 326-4031 Fax: (352) 360-0257
Mailing address
P.O. BOX 616788
ORLANDO, FL 32861-6788
Phone: (407) 447-7105 Fax: (407) 770-0594
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOLLY THOMAS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL276185800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME96580

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.