Individual provider Active NPI

Alisha Jefferson, M.D.

  • Surgery Physician
  • Smyrna, TN
National Provider Identifier
1366860819
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59128 Issued in TN
Practice address
739 President PL Ste 120
Smyrna, TN 37167-6845
Phone
(615) 768-5003
NPI assigned
Apr 2, 2014
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 59128 TN Primary

Addresses

Primary practice location

739 President PL Ste 120
Smyrna, TN 37167-6845

Mailing address

739 President PL Ste 120
Smyrna, TN 37167-6845
Phone (615) 768-5003

Other practice location 1

3807 Cleghorn Ave Ste 901
Nashville, TN 37215-2549
Phone (615) 334-0406

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Cosmetic Surgery Clinic, PLLC Surgery CurrentSince Sep 3, 2025 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients

Locations

739 President Pl
Ste 120
Smyrna, TN 37167
Phone (615) 768-5003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1366860819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL STE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676845",
            "telephone_number": "615-768-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL STE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676845",
            "telephone_number": "615-768-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3807 Cleghorn Ave Ste 901",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372152549",
            "country_code": "US",
            "telephone_number": "615-334-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "ALISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "59128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.