Kristian Danielle Jeffress, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001140 Issued in GA

Practice address

110 Hill Pond LN
Statesboro, GA 30458-0872

Phone

(912) 489-3668

Fax

(912) 489-4795

NPI assigned

Feb 19, 2010

Last updated

Jan 23, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kristian Danielle Jeffress Professional name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Affinity Foot and Ankle Specialists LLC

  • Podiatric Clinic/Center
  • Statesboro, GA
  • NPI 1437606407

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Family Podiatry Center PC

  • Podiatric Clinic/Center
  • Statesboro, GA
  • NPI 1447362298
  NPD
• Antioch Vascular Center, LLC

  • Vascular Specialist/Technologist Cardiovascular
  • Savannah, GA
  • NPI 1023517505
  NPD (past)

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

• East Georgia Regional Medical Center, LLC

  • General Acute Care Hospital
  • Statesboro, GA
  • NPI 1265486278
  Care Compare affiliation

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1649592585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HILL POND LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580872",
            "telephone_number": "912-489-3668",
            "fax_number": "912-489-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILL POND LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580872",
            "telephone_number": "912-489-3668",
            "fax_number": "912-489-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRESS",
        "first_name": "KRISTIAN",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIAN",
            "last_name": "JEFFRESS",
            "middle_name": "DANIELLE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James L. Hiller, MD, PC
• Jenny R Janney, PA-C
• Jason R. McGibony, DMD PC
• Jean-Claude Schwartz, M.D., P.C.
• Jebediah S Christy DDS - Statesboro PLLC
• Jenkins County Hospital (Jenkins Surgical Associates - Statesboro)
• Jenkins County Hospital LLC (Optim Medical Center - Jenkins)
• Jenkins County Hospital LLC (Optim Surgical Associates - Statesboro)
• Jasmin Jenkins
• Alexandria Jensen, M.ED., M.S.

• Foot & Ankle Surgery Podiatrist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.