Individual provider Active NPI

Jeneen Manlangit Gifford, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fayetteville, NC
National Provider Identifier
1740340454
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2026-01317 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-7392
Fax
(910) 615-7633
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2026-01317 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2026-01317 NC Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 3400-320 WI
Pulmonary Disease Physician 207RP1001X 2026-01317 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D67905 MD

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-8141

Other practice location 1

22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-8141

Other practice location 2

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Other identifiers 2

IdentifierTypeStateIssuer
S062-0555OtherMDCAREFIRST BC/BS
514045500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TX, NJ, SC, MS, GA, WI, NC8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20140924002011 MD Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3476785403 Reassigns benefits to 2 organizations
I20210201000584 TX Practitioner - Critical Care (Intensivists) 3476785403
I20210209000422 NJ Practitioner - Critical Care (Intensivists) 3476785403 Reassigns benefits to 1 organization
I20210309001357 SC Practitioner - Critical Care (Intensivists) 3476785403 Reassigns benefits to 1 organization
I20240214001397 MS Practitioner - Critical Care (Intensivists) 3476785403 Reassigns benefits to 2 organizations
I20250226000067 GA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3476785403 Reassigns benefits to 1 organization
I20260112001375 WI Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 3476785403 Reassigns benefits to 9 organizations
I20260520002418 NC Practitioner - Internal Medicine 3476785403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
George Washington University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8040

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2026-01317NCMDInternal Medicine Physician
3400-320WIMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 5, 2026 Accepting new patients
Copiah County Medical Center CurrentSince Jan 7, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 5, 2026 Accepting new patients
Ccmma NJ LLC Critical Care Medicine CurrentSince Dec 15, 2020 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Sep 1, 2014 Accepting new patients
MCHS Hospitals Inc Internal Medicine CurrentSince Jan 5, 2026 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Copiah County Medical Center CurrentSince Jan 7, 2024 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jan 1, 2025 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 5, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 5, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 5, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 5, 2026 Accepting new patients
University of Maryland Physicians PA Internal Medicine Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 5, 2026 Accepting new patients
University of Maryland Physicians PA Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Copiah County Medical Center Current Accepting new patients
Memorial Hospital Inc CurrentSince Jan 5, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 5, 2026 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 5, 2026 Accepting new patients
Greenwood Leflore Hospital CurrentSince Feb 1, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 5, 2026 Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients

Locations

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: jeneen.gifford.1@1902.direct.athenahealth.com
  • Direct secure messaging: jgifford12755@direct.umm.edu

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1740340454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-8141",
            "fax_number": "410-328-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-7392",
            "fax_number": "910-615-7633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-8141",
            "fax_number": "410-328-0177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Ministry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544765220",
            "country_code": "US",
            "telephone_number": "715-393-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "JENEEN",
        "middle_name": "MANLANGIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2026-01317",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2026-01317",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "3400-320",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2026-01317",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D67905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "S062-0555",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514045500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.