Anna Boyd Jefferson, A.O.

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

420 Maple Ave
Burlington, NC 27215-5934

Phone

(336) 228-7877

Fax

(336) 228-7514

NPI assigned

Apr 6, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carolina Eye Prosthetics, Inc.

  • Customized Equipment (DME)
  • Burlington, NC
  • NPI 1861465205

  Prosthetist

  NPD (past) Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477675676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MAPLE AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155934",
            "telephone_number": "336-228-7877",
            "fax_number": "336-228-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAPLE AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155934",
            "telephone_number": "336-228-7877",
            "fax_number": "336-228-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "ANNA",
        "middle_name": "BOYD",
        "credential": "A.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0494I",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704513",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James G Rafael
• Ar'Mallorie James
• Laura A James, PA-C
• Beckie Poe Jarrett, CRNA
• Javed Masoud P.a.
• Gwendolyn Rae Jeffery, PMHNP-BC
• Jeffreys Family Care
• Madesha Jenkins
• Angela Nicole Jennings, DNP
• Jennifer Marie Jennings, LCSWA

• Prosthetist in Burlington, NC
• Providers in Burlington, NC by specialty
• Prosthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.