Individual provider Active NPI

Jacquelyn Lafon, PA-C

  • Physician Assistant
  • Silver Spring, MD
National Provider Identifier
1114605003
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9801 Georgia Ave Ste 229
Silver Spring, MD 20902-5276
Phone
(301) 593-7792
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9801 Georgia Ave Ste 229
Silver Spring, MD 20902-5276

Mailing address

9574 Landbreeze Row
Columbia, MD 21045-4330
Phone (703) 609-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231108004041 DC Practitioner - Physician Assistant 2365899523 Reassigns benefits to 1 organization
I20241217004370 MD Practitioner - Physician Assistant 2365899523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

2554 Solomons Island Rd
Suite B 5
Annapolis, MD 21401-3710
Phone (410) 943-2484

8205 Snowden River Pkwy
Columbia, MD 21045-2038
Phone (410) 290-9990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors First, LLC CurrentSince Sep 11, 2023 Accepting new patients
Capital Healthcare PC Dba Allcare Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

806 W Diamond Ave
Ste 110
Gaithersburg, MD 20878
Phone (240) 342-2407

9801 Georgia Ave
Ste 229
Silver Spring, MD 20902
Phone (301) 593-7792

Interoperability endpoints

  • Direct secure messaging: jacquelyn.lafon.1@15482.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1114605003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9574 LANDBREEZE ROW",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454330",
            "telephone_number": "703-609-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE STE 229",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-593-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFON",
        "first_name": "JACQUELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.