Gwendolyn Rae Jeffery, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

JEFF-CYYT2 Issued in NC

Practice address

963 Kirkpatrick Rd
Burlington, NC 27215-8911

Phone

(336) 229-5905

Fax

(336) 252-3228

NPI assigned

Nov 19, 2024

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

Medicare fee-for-service enrollment

Enrolled in NC

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brynn Marr Hospital, Inc.Group PAC ID 7113836958, 8 clinicians

Rha Behavioral Health NC LLCGroup PAC ID 4688948656, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1700318680
  Medicare reassignment Care Compare group NPD
• Brynn Marr Hospital Inc

  dba Brynn Marr Hospital

  • Psychiatry Physician
  • Jacksonville, NC
  • NPI 1568225845
  Medicare reassignment Care Compare group
• Rha Health Services Inc

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1447376306
  Medicare reassignment NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1164151080
  NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1548620297
  NPD
• Rha Health Services, Inc

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1629489307
  NPD
• Rha Health Services, Inc.

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1700918125
  NPD

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1477378156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 KIRKPATRICK RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158911",
            "telephone_number": "336-229-5905",
            "fax_number": "336-252-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 KIRKPATRICK RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158911",
            "telephone_number": "336-229-5905",
            "fax_number": "336-252-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "GWENDOLYN",
        "middle_name": "RAE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "JEFF-CYYT2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ar'Mallorie James
• Laura A James, PA-C
• Beckie Poe Jarrett, CRNA
• Javed Masoud P.a.
• Anna Boyd Jefferson, A.O.
• Jeffreys Family Care
• Madesha Jenkins
• Angela Nicole Jennings, DNP
• Jennifer Marie Jennings, LCSWA
• Willie H. Jennings, R.PH., FASCP

• Psychiatric/Mental Health Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.