MEDICARE: DR. JAMES E. JOLLEY II M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD31776	TN
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	MD31776	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MD31776	OTHER	TN	STATE LICENSE

General Provider Information

NPI Number	:	1457392433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E. JOLLEY II M.D.

Provider Business Mailing Address
First Line	:	281 NORTH LYERLY STREET
Second Line	:	SUITE 300
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404
Country	:	US
Telephone Number	:	423-693-2175
Fax Number	:	888-959-1015

Provider Business Practice Location Address
First Line	:	281 N LYERLY ST STE 300
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37404-2748
Country	:	US
Telephone Number	:	423-693-2175
Fax Number	:	888-959-1015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	04/04/2025

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