Active NPI
Benjamin Jeffrey, NP-C
- Family Nurse Practitioner
- Garner, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5007140
- Practice address
- 127 US 70 Hwy W
Garner, NC 27529-3942 - Phone
- (919) 977-6973
- NPI assigned
- Jan 14, 2014
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP#5382 | Other | AZ | AZ 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP#5382 | AZ | MD | Family 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.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1720136930
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.