Individual provider Active NPI

Kathleen M Jeffery, MD

  • Surgery Physician
  • Athens, GA
National Provider Identifier
1801909635
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
45508 Issued in GA
Practice address
1500 Oglethorpe Ave Ste 2100
Athens, GA 30606-2188
Phone
(706) 425-5437
Fax
(706) 425-5438
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 45508 GA Primary

Addresses

Primary practice location

1500 Oglethorpe Ave Ste 2100
Athens, GA 30606-2188

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3727

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200729001039 GA Practitioner - General Surgery 5799822466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1110 Commerce Dr
Suite 108
Greensboro, GA 30642-7444
Phone (706) 310-1859

Hospital & facility affiliations

  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy45
Melanoma (skin cancer) excision16
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Medical Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
St Mary'S Medical Group, Inc Current Accepting new patients
St. Mary'S Medical Group, Inc. Surgery CurrentSince Jul 1, 2020 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
Greenwood Surgical Assoc. Surgery Past Accepting new patients

Locations

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1500 Oglethorpe Ave
Ste 2000
Athens, GA 30606
Phone (706) 548-5488

1500 Oglethorpe Ave
Ste 2100
Athens, GA 30606
Phone (706) 425-5437

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1000 Cowles Clinic Way
Ste P-100
Greensboro, GA 30642
Phone (706) 425-5437

1110 Commerce Dr
Ste 108
Greensboro, GA 30642
Phone (706) 310-1859

355 Clear Creek Pkwy
Ste 1007
Lavonia, GA 30553
Phone (706) 425-5437

355 Clear Creek Pkwy
Ste 2004
Lavonia, GA 30553
Phone (706) 356-0554

Interoperability endpoints

  • Direct secure messaging: kjeffery127311@selfregional.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kjefferyparramore2013362@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1801909635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3727",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE STE 2100",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062188",
            "telephone_number": "706-425-5437",
            "fax_number": "706-425-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "45508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.