Andrea Renee Jefferson-Saboor, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN103467 Issued in GA

Practice address

2140 Peachtree Rd NW
Suite 232
Atlanta, GA 30309-1314

Phone

(404) 231-4431

Fax

(404) 231-5677

NPI assigned

Jun 5, 2006

Last updated

Dec 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long's Drugs of Sandersville Georgia IncGroup PAC ID 4385969609, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajeffersonsaboor123322@directwellstar.org
• Direct secure messaging: andrea.jeffersonsaboor.p50@direct.tenet.nextgenshare.com

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.

• Long's Drugs of Sandersville, Georgia, Inc.

  dba AvitaCare

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1265155774
  Medicare reassignment Care Compare group NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487
  Medicare reassignment NPD
• Southside Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1235123993
  Medicare reassignment NPD
• Luminous Care, LLC

  • Health Service Clinic/Center
  • Atlanta, GA
  • NPI 1467066639
  NPD Authorized official
• Absolutecare, LLC

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1528198678
  NPD
• Longs Drugs of Sandersville Georgia Inc

  dba Avita Pharmacy 1046

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1053357509
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lithonia, GA
  • NPI 1609374842
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD
• Southside Medical Center, Inc

  dba Southside Medical Center School Based Health Center at Lee Elementary School

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, GA
  • NPI 1821981234
  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1407895618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 PEACHTREE RD NW",
            "address_2": "SUITE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091314",
            "telephone_number": "404-231-4431",
            "fax_number": "404-231-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PEACHTREE RD NW",
            "address_2": "SUITE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091314",
            "telephone_number": "404-231-4431",
            "fax_number": "404-231-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON-SABOOR",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN103467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229631952A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Duncan Jefferies, PA-C
• Maximillian A Jefferies, LPC, NCC, MFT
• Courtney Alyse Jeffers
• Hayley Elizabeth Jeffers
• Sarah Lorraine Jeffers, M.D.
• Anygiah Ka'Hari Jefferson
• Colleen G. Jefferson, LPC
• Georwana Comasia Jefferson, CNM, WHNP-BC
• Helen Jean Jefferson
• Janice M Jefferson, BSN MA

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.