Individual provider Active NPI

Gary Jeffries, NP

  • Nurse Practitioner
  • Warrenton, VA
National Provider Identifier
1720195175
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001091836 Issued in VA
Practice address
500 Hospital Dr
Warrenton, VA 20186-3027
Phone
(540) 349-0595
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0001091836 VA Primary

Addresses

Primary practice location

500 Hospital Dr
Warrenton, VA 20186-3027

Mailing address

PO Box 223323
Chantilly, VA 20153-3323
Phone (540) 349-0595

Other identifiers 1

IdentifierTypeStateIssuer
007787936MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040407001125 DC Practitioner - Nurse Practitioner 5193718807 Reassigns benefits to 1 organization
I20110312000120 VA Practitioner - Nurse Practitioner 5193718807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Emergency Medicine Assoicates LTDGroup PAC ID 3870581986, 8 clinicians

Practice addresses (Care Compare)

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
84.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.77 of 100Reported as group
Quality
93.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001091836VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 24, 2020 Accepting new patients
Inova Health Care Services Current Accepting new patients
Virginia Emergency Medicine Assoicates, LTD CurrentSince May 1, 2000 Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44055 Riverside Pkwy
Ste 226
Leesburg, VA 20176
Phone (202) 321-8162

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1720195175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223323",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201533323",
            "telephone_number": "540-349-0595",
            "fax_number": "540-349-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863027",
            "telephone_number": "540-349-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001091836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007787936",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.