Jacqueline A Caffrey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

051917 Issued in GA

Practice address

423 S. Columbia Avenue
Rincon, GA 31326-1399

Phone

(912) 826-8860

Fax

(912) 826-2813

NPI assigned

Jul 25, 2006

Last updated

Aug 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SJC Medical Group Inc

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1811233828
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1063434165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E. 72ND STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054913",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S. COLUMBIA AVENUE",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313261399",
            "telephone_number": "912-826-8860",
            "fax_number": "912-826-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFREY",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092040838A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Brown, PT
• Margaret Cynthia Brown, LMFT
• Eric C Bull, PT,DSC.,MPT,MMT,OCS
• Kelli Anne Burke, LPC
• Lorraine L Byrd, ACNP
• Cage Counseling Services, Inc.
• Cage Counseling Services, LLC
• Derrick Campbell
• Candler Medical Group, Inc. - Rincon
• Angela Christen Canfield, DDS

• Family Medicine Physician in Rincon, GA
• Providers in Rincon, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.