William Travis Jeffcoat, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

TL1830 Issued in SC

Practice address

109 Health Way
Anderson, SC 29621-3333

Phone

(864) 224-5700

Fax

(864) 226-0680

NPI assigned

Oct 2, 2012

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Physician Assistant

Education

Medical University of South Carolina College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anmed Health Hospital, Anderson, SC, CCN 420027
• Cannon Memorial Hospital Hospital, Pickens, SC, CCN 420011

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tjeffcoat11919@direct.anmedhealth.net

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.

• Anmed Health

  dba AnMed Health Westside Family Medicine

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1639102270
  Medicare reassignment Care Compare group NPD
• Anmed Health

  dba AnMed TMS &Sleep Diagnostics

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Anderson, SC
  • NPI 1710201959
  NPD
• Anmed Health

  dba AnMed

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531
  NPD (past)
• Anmed Health

  dba AnMed

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1710918321
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anmed Health

  dba AnMed

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531
  Care Compare affiliation
• Cannon Memorial Hospital

  dba AnMed Cannon

  • General Acute Care Hospital
  • Pickens, SC
  • NPI 1497744254
  Care Compare affiliation

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1437400363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213333",
            "telephone_number": "864-224-5700",
            "fax_number": "864-226-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HEALTH WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213333",
            "telephone_number": "864-224-5700",
            "fax_number": "864-226-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFCOAT",
        "first_name": "WILLIAM",
        "middle_name": "TRAVIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-02",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "TL1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01616415",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1671PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cora Lynn Jarboe
• John Carter Jarrard, M.D.
• Jason a Single DDS LLC
• Aghtan Jeffcoat, COTA/L
• Heather Jeffcoat, PT, MPT
• Catherine Smith Jeffords, M.D.
• Kenni Bowling Jenkins, PT, DPT
• Matthew David Jenkins, MD
• Jeffrey Alan Jenkinson, D.M.D.
• Christopher R. Jennings, MD

• Surgical Physician Assistant in Anderson, SC
• Providers in Anderson, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.