Individual provider Active NPI

Jeysirine Telesford

  • Family Nurse Practitioner
  • Covington, GA
National Provider Identifier
1265897540
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN192867 Issued in GA
Practice address
290 Kestrel Cir
Covington, GA 30014-7652
Phone
(770) 385-7750
Fax
(770) 385-7750
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN192867 GA Primary

Addresses

Primary practice location

290 Kestrel Cir
Covington, GA 30014-7652

Mailing address

290 Kestrel Cir
Covington, GA 30014-7652
Phone (917) 536-2479

Other practice location 1

2491 Panola Rd
Lithonia, GA 30058-4831
Phone (404) 788-9957

Other practice location 2

2601 Salem Rd SE
Conyers, GA 30013-2127
Phone (678) 205-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 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
I20161028000169 GA Practitioner - Nurse Practitioner 6204114135 Reassigns benefits to 1 organization
I20230313001497 NY Practitioner - Nurse Practitioner 6204114135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. CurrentSince Sep 1, 2016 Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFBDA/Endpoint/BEFBDA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1265897540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 KESTREL CIR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300147652",
            "telephone_number": "917-536-2479",
            "fax_number": "770-385-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 KESTREL CIR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300147652",
            "telephone_number": "770-385-7750",
            "fax_number": "770-385-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2491 Panola Rd",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300584831",
            "country_code": "US",
            "telephone_number": "404-788-9957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Salem Rd SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300132127",
            "country_code": "US",
            "telephone_number": "678-205-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELESFORD",
        "first_name": "JEYSIRINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN192867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.