Antoinette Y. L. Jeffers, MMSC, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002228 Issued in GA

Practice address

2885 Headland Dr
East Point, GA 30344-6652

Phone

(404) 344-9333

Fax

(404) 344-9922

NPI assigned

Apr 27, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Precious L. Braswell, MD, OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • East Point, GA
  • NPI 1639255045
  Medicare reassignment
• JW Medical Care, LLC

  • Family Medicine Physician
  • College Park, GA
  • NPI 1730329806
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1639136161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5478 SPELMAN DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318093",
            "telephone_number": "404-298-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 HEADLAND DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446652",
            "telephone_number": "404-344-9333",
            "fax_number": "404-344-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "ANTOINETTE",
        "middle_name": "Y. L.",
        "name_prefix": "Mrs.",
        "credential": "MMSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "901687708C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James M. Freemont, MD, PC
• Tabitha Rebecca James, NP
• Janaye Arlivia Jasper, CCC-SLP
• Travis K Jasper, MD
• Murad Jawhar, PHARM D.
• Jeffrey S. Butts DDS PC
• Jencare Neighborhood Medical Center East Point
• Jonas A Jenkins, MA, BCBA
• Catonseia Jennings
• Yolanda Kay Jerkins, LPC

• Medical Physician Assistant in East Point, GA
• Providers in East Point, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.