Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tina Jolly, MSN, APRN, NP-C

Family Nurse Practitioner in Dublin, GA · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619412004

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Registry record

Entity type Individual (Type 1)

Name Tina Jolly

Credential MSN, APRN, NP-C

Sex Female

Practice address 107 Fairview Park Dr, Dublin, GA, 31021

Phone (478) 272-3446

Fax (478) 864-1288

Enumeration date Dec 21, 2016

Last updated in NPPES May 22, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN139653 (GA) Primary

APRN · Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists. About the APRN credential

Other identifiers

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

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Tina Jolly's NPI record?

Cross-check NPI 1619412004 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1619412004 active?

Yes, as of the latest NPPES snapshot, NPI 1619412004 is active (record last updated 2025-05-22).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-22.