JO ANN N BOLLI, M.D. — NPI 1134198526 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in CLINTON, KY)

CMS-1500 Box 24J / 33a • NPI

1134198526

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207VG0400X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

308 S WASHINGTON ST, CLINTON, KY, 42031-1340

✓ 9-Digit EDI 837 ZIP+4 (42031-1340)

Practice Phone & Referral Fax

(270) 254-3021

Fax: (270) 254-3023

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1134198526 (JO ANN N BOLLI, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1134198526` (NPI-1 Individual Practitioner)
Provider / Legal Name	JO ANN N BOLLI, M.D.
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207VG0400X` (Obstetrics & Gynecology, Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	308 S WASHINGTON ST, CLINTON, KY, 42031-1340
Practice Telephone / Fax	Tel: (270) 254-3021 \| Fax: (270) 254-3023
Administrative Mailing Address	627 ASHEVILLE HWY, GREENEVILLE, TN, 37743-5401
Enumeration & Last Sync	Enumerated: 2006-03-16 \| CMS Record Updated: 2016-12-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

308 S WASHINGTON ST, CLINTON, KY, 42031-1340

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Plain-English Taxonomy & CMS Crosswalk (207VG0400X)

What Does Taxonomy Code 207VG0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207VG0400X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JO ANN N BOLLI, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: TN \| License: `43737` \| Primary: Secondary
`207VG0400X` — Obstetrics & Gynecology, Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: TN \| License: `43737` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JO ANN N BOLLI, M.D. (NPI #1134198526)