Individual provider Active NPI

Adrian Jefferson, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1376785543
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48621 Issued in TN
Practice address
3461 Austin Peay Hwy
Memphis, TN 38128-3801
Phone
(901) 261-4533
NPI assigned
Apr 2, 2009
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48621 TN Primary
Hospitalist Physician 208M00000X 48621 TN

Addresses

Primary practice location

3461 Austin Peay Hwy
Memphis, TN 38128-3801

Mailing address

3461 Austin Peay Hwy
Memphis, TN 38128-3801
Phone (901) 261-4533

Other identifiers 2

IdentifierTypeStateIssuer
6015736OtherTNBLUE CROSS-BLUE SHIELD
Q002394MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130812000608 TN Practitioner - Internal MedicinePractitioner - Hospitalist 9335395839 Reassigns benefits to 3 organizations
I20170731001800 AR Practitioner - Internal MedicinePractitioner - Hospitalist 9335395839 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
University Health System Inc CurrentSince Jun 1, 2015 Accepting new patients
University Health System, Inc Hospitalist CurrentSince Jun 1, 2015 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince May 13, 2014 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Forrest City Clinic Company LLC Internal Medicine CurrentSince Jul 30, 2018 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Cookeville Regional Medical Center Hospitalist Past Accepting new patients
Baptist Physician Associates LLC Hospitalist Past Accepting new patients

Locations

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

1940 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-6810

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

300 20th Ave N
Fl 9
Nashville, TN 37203

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1376785543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 AUSTIN PEAY HWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283801",
            "telephone_number": "901-261-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 AUSTIN PEAY HWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283801",
            "telephone_number": "901-261-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "ADRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "48621",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "48621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "6015736",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002394",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.