Organization Active NPI

Jeffers Internal Medicine PLLC

  • Internal Medicine Physician
  • Collierville, TN
National Provider Identifier
1184010209
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27127 Issued in TN
Legal business name
JEFFERS INTERNAL MEDICINE PLLC
Practice address
526 Halle Park Dr
Collierville, TN 38017-7085
Phone
(901) 730-5345
Fax
(901) 730-5370
NPI assigned
Apr 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Dr. Raymond C Jeffers, MD
Title
Physician
Phone
(901) 730-5345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 27127 TN Primary

Addresses

Primary practice location

526 Halle Park Dr
Collierville, TN 38017-7085

Mailing address

526 Halle Park Dr
Collierville, TN 38017-7085
Phone (901) 730-5345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1184010209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 HALLE PARK DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177085",
            "telephone_number": "901-730-5345",
            "fax_number": "901-730-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 HALLE PARK DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177085",
            "telephone_number": "901-730-5345",
            "fax_number": "901-730-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERS INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-730-5345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.