Individual provider Active NPI

Virginia Anne Jeffryes, MD

  • Family Medicine Physician
  • Franconia, NH
National Provider Identifier
1174583835
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11564 Issued in NH
Practice address
92 Church Street
Franconia, NH 03580-0577
Phone
(603) 823-7234
Fax
(603) 823-7234
NPI assigned
Mar 27, 2006
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11564 NH Primary

Addresses

Primary practice location

92 Church Street
Franconia, NH 03580-0577

Mailing address

PO Box 577
Franconia, NH 03580-0577
Phone (603) 823-7234

Other identifiers 2

IdentifierTypeStateIssuer
30203289MedicaidNH
ORE6829MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20170404001102 NH Order and Referring Only - Family PracticePractitioner - Family Practice 4183781263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11564NHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1174583835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "035800577",
            "telephone_number": "603-823-7234",
            "fax_number": "603-823-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CHURCH STREET",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "035800577",
            "telephone_number": "603-823-7234",
            "fax_number": "603-823-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRYES",
        "first_name": "VIRGINIA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203289",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ORE6829",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franconia, NH

Sources for this page

Verify at the official NPI Registry.