Active NPI
Jasmine Jeffers, MD, LLC
Doing business as Westside Medical Associates
- Gastroenterology Physician
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- JASMINE JEFFERS, MD, LLC
- Doing business as
- Westside Medical Associates
- Practice address
- 3825 Medical Park Dr
Suite 300
Austell, GA 30106-1109 - Phone
- (770) 941-4810
- Fax
- (770) 948-9149
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Devon Charles Spencer
- Title
- Practice Manager
- Phone
- (770) 941-4810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
3825 Medical Park Dr
Suite 300
Austell, GA 30106-1109
Mailing address
PO Box 650
Austell, GA 30168-1007
Phone (770) 941-4810
Other names 1
- Westside Medical Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0975645 | Jasmine Jeffers MD LLC, Westside Med Assoc | Certificate of waiver | Apr 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
6095 Professional Pkwy
Ste B203
Douglasville, GA 30134
Phone (770) 947-7747
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Austell, GA
- NPI 1518950617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1366586422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301681007",
"telephone_number": "770-941-4810",
"fax_number": "770-948-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 MEDICAL PARK DR",
"address_2": "SUITE 300",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061109",
"telephone_number": "770-941-4810",
"fax_number": "770-948-9149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASMINE JEFFERS, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "DEVON",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "770-941-4810",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Westside Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.