Mac Everett Jolly, DO
NPI 1407542384ActiveIndividual· General Practice· Conway, SC
General Practice (DO) in Conway, South Carolina, licensed in AZ, with an NPI issued in April 2023. Part D covered 166 prescriptions written in 2024, 87% of them generic.
Overview
| NPI | 1407542384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 13, 2023 |
| Last updated in NPPES | Aug 1, 2024 |
| Certified by provider | Jul 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 011162 | AZ |
| Family Medicine | 207Q00000X | 011162 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (AZ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 166 · 423 30-day fills |
|---|---|
| Patients | 32 |
| Total drug cost | $10,436 |
| Generic share | 87% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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