Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ren Patrick Jolly, PA-C

Individual provider Physician Assistant · NPI 1780052498

Ren Patrick Jolly, PA-C is a Physician Assistant in Tallahassee, Florida. Qualified in 2015, 11 years ago. Practices with Tallahassee Orthopedic Clinic III Pl, a 550-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone: (850) 877-8174
Fax: (850) 877-5636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109002 (FL)

Record details

NPI number1780052498
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2015
Last updated in NPPESOctober 29, 2015
Mailing address3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308-4470

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tallahassee Orthopedic Clinic Iii Pl — 550 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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