REN PATRICK JOLLY PA-C NPI 1780052498

NPI Information

  • NPI: 1780052498
  • Provider Name: REN PATRICK JOLLY, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3334 CAPITAL MEDICAL BLVD STE 400
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 877-8174

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NPI Details

Ren Patrick Jolly, PA-C is a physician assistant in Tallahassee, FL with 10 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Ren Patrick Jolly, PA-C NPI is 1780052498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL
ZIP 32308-470
Phone: (850) 877-8174
Fax: (850) 877-5636

The NPI 1780052498 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 9/11/2015 and was last updated on 10/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA9109002FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1II493ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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