NPIMap

Individual provider Active NPI

Ashley Jeffords, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1295067924
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4113 Issued in SC
Practice address
4311 Hard Scrabble Rd
Columbia, SC 29229-9422
Phone
(803) 545-5700
Fax
(803) 434-4699
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 4113 SC Primary

Addresses

Primary practice location

4311 Hard Scrabble Rd
Columbia, SC 29229-9422

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

2 Medical Park Rd STE LL9/10
Columbia, SC 29203
Phone (803) 545-5700

Other identifiers 2

IdentifierTypeStateIssuer
NP1615MedicaidSC
APN.4113OtherSCLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000442 SC Practitioner - Nurse Practitioner 7810189388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

4311 Hard Scrabble Rd
Columbia, SC 29229-9422
Phone (803) 545-5700

Hospital & facility affiliations

  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Sep 11, 2016 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Sep 11, 2016 Accepting new patients

Locations

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

1801 Sunset Dr
Ste 200
Columbia, SC 29203
Phone (803) 434-3020

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

4311 Hard Scrabble Rd
Columbia, SC 29229
Phone (803) 419-6334

9 Richland Medical Park Dr
Ste 620
Columbia, SC 29203
Phone (803) 779-6776

Interoperability endpoints

  • Direct secure messaging: ajeffords381032@direct.ghs.myhfn.org

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1295067924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 HARD SCRABBLE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299422",
            "telephone_number": "803-545-5700",
            "fax_number": "803-434-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Medical Park Rd STE LL9/10",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-545-5700",
            "fax_number": "803-434-6642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFORDS",
        "first_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1615",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APN.4113",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.