Jolly Bose, M.D.
Jolly Bose, M.D. is an Adult Medicine Physician in Palatka, FL, registered under NPI 1619116548. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 400 N STATE ROAD 19 SUITE 48, Palatka, FL 32177. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME105828 | FL | Adult Medicine Physician primary |
| ME105828 | FL | Public Health & General Preventive… |
This provider holds licence ME105828 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - General Practice
- PAC ID
- 6305962325
- Enrollment ID
- I20150425000166
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - General Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adult Medicine covers
The NUCC recommends this code not be used. Choose a more appropriate code. NUCC Health Care Provider Taxonomy, code 207QA0505X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207QA0505X | Adult Medicine Physician Adult Medicine | ME105828 | FL | primary |
| 2083P0901X | Public Health & General Preventive Medicine Physician Public Health & General Preventive Medicine | ME105828 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1619116548 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 17, 2009 |
| Last updated | Mar 29, 2013 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
400 N STATE ROAD 19 SUITE 48 Palatka, FL 32177 (386) 329-8800 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 1 | 9 | 1 | 1 | 6 | 5 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 2 | 9 | 2 | 1 | 3 | 5 | 8 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.