Jeffery Preston Short, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102646 Issued in NC

Practice address

8 Regional Cir
Pinehurst, NC 28374-9796

Phone

(910) 215-5555

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinehurst Medical Clinic Inc 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jefferyshort@phmc.allscriptsdirect.net

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.

• Pinehurst Medical Clinic, Inc.

  • Internal Medicine Physician
  • Pinehurst, NC
  • NPI 1255388369

  NC

  Medicare reassignment Care Compare group NPD
• Pinehurst Medical Clinic, Inc.

  • Clinical Medical Laboratory
  • Southern Pines, NC
  • NPI 1962509372
  Care Compare group NPD (past)
• Pinehurst Medical Clinic, Inc.

  • Ambulatory Surgical Clinic/Center
  • Pinehurst, NC
  • NPI 1356421853
  Care Compare group
• Lumberton Emergency Medical Associates PC

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1326337163
  NPD (past)
• Pinehurst Medical Clinic Inc

  • Community/Retail Pharmacy
  • Pinehurst, NC
  • NPI 1760784359
  NPD (past)
• Columbia Healthcare of Central Virginia Inc

  • Plastic Surgery Physician
  • Richmond, VA
  • NPI 1417946450
  NPD (past)
• Riverside Emergency Physicians LLP

  • Emergency Medicine Physician
  • Gloucester, VA
  • NPI 1609891746

  Physician Assistant

  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1134475999
  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1245255264

  Physician Assistant

  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1639193188

  Physician Assistant

  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Hopewell, VA
  • NPI 1659396646

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1770568503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 REGIONAL CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-215-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 REGIONAL CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-215-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "mcdonald army hospital",
            "address_purpose": "LOCATION",
            "city": "ft. eustis",
            "state": "VA",
            "postal_code": "23604",
            "country_code": "US",
            "telephone_number": "757-314-7522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JEFFERY",
        "middle_name": "PRESTON",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001427",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Shepherd, MD
• Ashwini Sheth, P.T.
• Kevin Shi
• Madeline Jane Shinn, PH.,D.
• John Paul Shoffeitt, M.D.
• Angela D Siebenaller, RD,LDN
• Ovidiu-Gabriel Silasi, M.D.
• Mary Silverman, LCSW
• Darrell Simpkins, MD
• Marcia Simpson, LCSW

• All providers in Pinehurst, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.

Verify at the official NPI Registry.