NPI age
20 years
Enumerated 2005-11-02
● Active
Type 1 · Individual
DR. Joseph Jellicorse, M.D.
Jellicorse is 1 of 32 family medicine providers in Carrollton and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
100 Professional Park, Suite 204
Carrollton, GA 301173874
Mailing address
100 Professional Park, Suite 204
Carrollton, GA 301173874
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00823028A | |
| 01 (GA) | 080157122 | RAIL ROAD MEDICARE |
| 01 (GA) | 728652 | BLUE CROSS |
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.