Individual provider Active NPI

Benjamin Jeffrey, NP-C

  • Family Nurse Practitioner
  • Garner, NC
National Provider Identifier
1699197426
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007140 Issued in NC
Practice address
127 US 70 Hwy W
Garner, NC 27529-3942
Phone
(919) 977-6973
NPI assigned
Jan 14, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP#5382 AZ
Family Nurse Practitioner 363LF0000X 5007140 NC Primary

Addresses

Primary practice location

127 US 70 Hwy W
Garner, NC 27529-3942

Mailing address

127 US 70 Hwy W
Garner, NC 27529-3942
Phone (919) 977-6973

Other practice location 1

1033 Dresser Ct
Raleigh, NC 27609-7323
Phone (919) 792-3930

Other practice location 2

1033 Dresser Ct
Raleigh, NC 27609-7323
Phone (919) 792-3930

Other practice location 3

4653 S Lakeshore Dr Ste 2
Tempe, AZ 85282-7161
Phone (480) 456-8981

Other practice location 4

5809 Departure Dr Ste 106
Raleigh, NC 27616-1936
Phone (919) 977-6973

Other identifiers 1

IdentifierTypeStateIssuer
AP#5382OtherAZAZ BOARD OF NURSES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20141202001120 NC Practitioner - Nurse Practitioner 0244552230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yelvertons Enrichment Services IncGroup PAC ID 1850539966, 2 clinicians

Practice addresses (Care Compare)

4805 Green Rd
Raleigh, NC 27616-2848
Phone (919) 872-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP#5382AZMDFamily Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699197426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 US 70 HWY W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293942",
            "telephone_number": "919-977-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 US 70 HWY W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293942",
            "telephone_number": "919-977-6973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 Dresser Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097323",
            "country_code": "US",
            "telephone_number": "919-792-3930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 Dresser Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097323",
            "country_code": "US",
            "telephone_number": "919-792-3930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4653 S Lakeshore Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827161",
            "country_code": "US",
            "telephone_number": "480-456-8981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5809 Departure Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276161936",
            "country_code": "US",
            "telephone_number": "919-977-6973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "BENJAMIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP#5382",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF NURSES",
            "identifier": "AP#5382",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.