Individual provider Active NPI

Carolyn Hess Jeffcoat, MD

  • Family Medicine Physician
  • Warrington, PA
National Provider Identifier
1245265354
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2001-01560 Issued in NC
Practice address
847 Easton Rd
Suite 2500
Warrington, PA 18976-2906
Phone
(215) 918-5555
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2001-01560 NC Primary
Family Medicine Physician 207Q00000X MD452946 PA

Addresses

Primary practice location

847 Easton Rd
Suite 2500
Warrington, PA 18976-2906

Mailing address

847 Easton Rd
Suite 2500
Warrington, PA 18976-2906
Phone (215) 918-5555

Other identifiers 2

IdentifierTypeStateIssuer
891341AMedicaidNC
N01560MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150623000941 PA Practitioner - Family Practice 8820083637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001-01560NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buxmont Medical Associates, PC Family Medicine CurrentSince Jun 8, 2015 Accepting new patients

Locations

847 Easton Rd
Ste 2500
Warrington, PA 18976
Phone (215) 918-5555

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1245265354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 EASTON RD",
            "address_2": "SUITE 2500",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762906",
            "telephone_number": "215-918-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 EASTON RD",
            "address_2": "SUITE 2500",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189762906",
            "telephone_number": "215-918-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFCOAT",
        "first_name": "CAROLYN",
        "middle_name": "HESS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2001-01560",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD452946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891341A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01560",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

Verify at the official NPI Registry.