Sonya D H Jeffries, NP, CDE
Individual provider Active NPI Nurse Practitioner · Winston Salem, NC
NPI 1679720346 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1679720346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5003967 (NC)
- Practice address
- 1920 W 1St St
Piedmont Plaza 1, Diabetes Care Center, 5TH Floor
Winston Salem, NC 27104-4220 - Phone
- (336) 716-8234
- Fax
- (336) 716-8228
- NPI assigned
- Aug 25, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Forest University Health Sciences
Practice addresses (Care Compare)
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
- North Carolina Baptist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080923000335 | NC | Practitioner - Nurse Practitioner | 2264509991 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098231 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current |
Accepting new patients |
Locations
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
1920 W 1st St
Fl 5
Winston Salem, NC 27104
Phone (336) 716-5654
Interoperability endpoints
- sjeffries2753415@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5003967 | NC | Yes |
| Nurse Practitioner | 363L00000X | 098231 | NC |
Addresses
Primary practice location
1920 W 1St St
Piedmont Plaza 1, Diabetes Care Center, 5TH Floor
Winston Salem, NC 27104-4220
Mailing address
1920 W 1St St
Piedmont Plaza 1, Diabetes Care Center, 5TH Floor
Winston Salem, NC 27104-4220
Phone (336) 716-8234
Other providers in Winston Salem, NC
- Virginia Wilson Jeffers
- Carmen Ni'Asia Jefferson
- Jeffrey C. Zackeru, DMD, PLLC
- Jeffrey J. Tibbs, DDS, PA
- Calvert Jeffries
- Tamara L Jenison Williams
- Brandon Jenkins
- Dexteria Rebecca Jenkins
- Jaime Jeyuson Jenkins
- James Harold Jenkins
All providers in Winston Salem, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.