Andrew C Jeffreys

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5283 Issued in MS

Practice address

50 S Main St
Water Valley, MS 38965-2946

Phone

(662) 473-4777

Fax

(662) 473-2233

NPI assigned

Aug 7, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Rehabilitation of Senatobia IncGroup PAC ID 8325078587, 3 clinicians

Cornerstone Rehabilitation of HernandoGroup PAC ID 8022395268, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Cornerstone Rehabilitation of Hernando

  • Physical Therapist
  • Hernando, MS
  • NPI 1043640733
  Medicare reassignment Care Compare group NPD
• Cornerstone Rehabilitation of Senatobia Inc

  • Physical Therapist
  • Senatobia, MS
  • NPI 1043246192
  Medicare reassignment Care Compare group NPD
• Cornerstone Rehabilitation of Batesville Inc

  • Physical Therapist
  • Batesville, MS
  • NPI 1639114390
  Medicare reassignment NPD
• Cornerstone Rehabilitation, Inc

  • Physical Therapist
  • Water Valley, MS
  • NPI 1093751539
  Medicare reassignment NPD

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1063844595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652946",
            "telephone_number": "662-473-4777",
            "fax_number": "662-473-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652946",
            "telephone_number": "662-473-4777",
            "fax_number": "662-473-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREYS",
        "first_name": "ANDREW",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawanda Herron, FNP
• Holly Springs Eyecare PLLC
• Edward Hudspeth, R.PH., LPC
• Mike J Inmon, RPH
• Jason H Clark & Sandra J Clark
• John F Kimball, SLP
• Grady Madison Kuykendall
• Myranda Lancaster
• Anna Mathis Larson, NP
• Lee Pullen

• Physical Therapist in Water Valley, MS
• Providers in Water Valley, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.