Jefferd Jackson Daniel
Individual provider Active NPI Physician Assistant · Trenton, GA
NPI 1821950700 · NPPES record last updated Nov 28, 2025
Key facts
- NPI
- 1821950700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3253 New Home Rd
Trenton, GA 30752-5705 - Phone
- (909) 894-9980
- NPI assigned
- Nov 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3253 New Home Rd
Trenton, GA 30752-5705
Mailing address
3253 New Home Rd
Trenton, GA 30752-5705
Phone (909) 894-9980
Other providers in Trenton, GA
- Dade County Board of Health
- Dade County Chiropractic Center LLC
- Dade County School System
- Dade County, Georgia
- Dade Health & Rehab, LLC
- David C Martin, M.D., P.a.
- Jennifer Cross Davis
- Brittany G Dee
- James Cason Durham
- Peggy P Emberson
All providers in Trenton, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.