Active NPI
Curtis Jefferson
- Nursing Home Administrator
- McDonough, GA
National Provider Identifier
1548817893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Practice address
- 718 Walden Run PL
McDonough, GA 30253-7008 - Phone
- (404) 670-4600
- NPI assigned
- Aug 21, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | Primary |
Addresses
Primary practice location
718 Walden Run PL
McDonough, GA 30253-7008
Mailing address
718 Walden Run PL
McDonough, GA 30253-7008
Phone (404) 670-4600
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1548817893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 WALDEN RUN PL",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302537008",
"telephone_number": "404-670-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 WALDEN RUN PL",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302537008",
"telephone_number": "404-670-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "CURTIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.