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Active NPI 1679693436 Individual Practitioner Male Practitioner

Wayne Jolly , PA-C

Physician Assistant • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Wayne Jolly, PA-C is a registered healthcare professional specializing in Physician Assistant in Detroit, MI. Practice services are available at 4100 JOHN R ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4100 John R St
Karmanos Cancer Center

Detroit, MI 482012013

Telephone 8005276266
Fax 3135768381
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
370 Specialists

Practicing in Detroit, MI (7057 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
13 11 $156.00 $58.96

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601001710

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Michael Dominello , DO

Radiology - Radiation Oncology

NPI 1003135500

Doctor of Osteopathic Medicine (D.O.)

Dr. Ammar Sukari , MD

Internal Medicine - Medical Oncology

NPI 1013960384

Doctor of Medicine (M.D.)

Golbon Sterbis , NP-C

Nurse Practitioner

NPI 1033595178

Nurse Practitioner (Certified)

Courtney French , PA

Physician Assistant

NPI 1043253750

Physician Assistant

Dr. Joseph Fontana , MD

Internal Medicine

NPI 1063452522

Doctor of Medicine (M.D.)

Dr. John Ensley , MD

Internal Medicine

NPI 1063459543

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2016

Registered at 4100 JOHN R ST, KARMANOS CANCER CENTER, DETROIT, MI 482012013 (Tel: 8005276266)

📍
Updated Business Mailing Address October 25, 2016

Registered at 1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 480831138 (Tel: 8005276266)

👤
Provider Name / Credentials Updated October 25, 2016

Recorded as WAYNE JOLLY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2016

Physician Assistant (License #5601001710 in MI)

🟢
Initial NPI Registration & Enumeration March 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679693436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: October 25, 2016
Sole Proprietor: No

Mailing Address

1560 E Maple Rd, Suite 400-Credentialing

Troy, MI 480831138

Phone: 8005276266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.