Active NPI
Grady B. Jefferys Jr., PH.D.
- Professional Counselor
- Asheville, NC
National Provider Identifier
1306039177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 950
- Practice address
- 276 Sand Hill Rd
Asheville, NC 28806-2468 - Phone
- (828) 273-1643
- NPI assigned
- Aug 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 120 | NC | |
| Professional Counselor | 101YP2500X | 950 | NC | Primary |
Addresses
Primary practice location
276 Sand Hill Rd
Asheville, NC 28806-2468
Mailing address
276 Sand Hill Rd
Asheville, NC 28806-2468
Phone (828) 273-1643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 950 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1306039177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 SAND HILL RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288062468",
"telephone_number": "828-273-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 SAND HILL RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288062468",
"telephone_number": "828-273-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERYS",
"first_name": "GRADY",
"middle_name": "B.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "120",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.