Active NPI
Devin Jeffrey
- In Home Supportive Care Agency
- Martinez, GA
National Provider Identifier
1386137552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 036-R-0892
- Practice address
- 131 S Belair Rd
Martinez, GA 30907-9112 - Phone
- (706) 305-3533
- Fax
- (706) 305-3534
- NPI assigned
- Jun 12, 2018
- Last updated
- Jun 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 036-R-0892 | GA | Primary |
Addresses
Primary practice location
131 S Belair Rd
Martinez, GA 30907-9112
Mailing address
131 S Belair Rd
Martinez, GA 30907-9112
Phone (706) 305-3533
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-R-0892 | GA | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1386137552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 S BELAIR RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309079112",
"telephone_number": "706-305-3533",
"fax_number": "706-305-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 S BELAIR RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309079112",
"telephone_number": "706-305-3533",
"fax_number": "706-305-3534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREY",
"first_name": "DEVIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "036-R-0892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.