Elizabeth H Jeffords MD PA

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

ELIZABETH H JEFFORDS MD PA

Practice address

3710 Landmark Dr Ste 202
Columbia, SC 29204-4034

Phone

(803) 708-9591

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Jeffords, MDNPI 1891883005

Title

President

Phone

(803) 709-9591

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Hubbard Jeffords, M.D.

  • Child & Adolescent Psychiatry Physician
  • Columbia, SC
  • NPI 1891883005
  Medicare reassignment NPD Authorized official
• Kelly T Dion, MD

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1164651667
  NPD
• Ashley B Harbin, PH.D.

  • Clinical Psychologist
  • Columbia, SC
  • NPI 1801983622
  NPD
• Daniel Robert Lindsey, MD

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1982183190
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1265104392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 LANDMARK DR STE 202",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044034",
            "telephone_number": "803-708-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 LANDMARK DR STE 202",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044034",
            "telephone_number": "803-708-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3710 Landmark Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292044034",
            "country_code": "US",
            "telephone_number": "803-708-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH H JEFFORDS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "JEFFORDS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-709-9591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejeffords@ejeffordsmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3710 Landmark Dr Ste 202",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292044034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejeffords@ejeffordsmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3710 Landmark Dr Ste 202",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292044034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Child & Adolescent Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.