Alicia Duncan Jefferies, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7043 Issued in GA

Practice address

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Phone

(678) 843-7001

NPI assigned

Oct 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alicia Duncan Webb Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avc Medical LLCGroup PAC ID 4688046436, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alicia.jefferies.1@27979.direct.athenahealth.com

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.

• Avc Medical LLC

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1003528860

  GA

  Medicare reassignment Care Compare group
• Dekalb Medical Specialty Care Group LLC

  • Neurology Physician
  • Decatur, GA
  • NPI 1063663037
  NPD (past)
• Eastside General Surgery LLC

  • Specialist
  • Snellville, GA
  • NPI 1992869192
  NPD (past)

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1861820102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 FOREST GLEN DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300661490",
            "telephone_number": "404-217-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 PEACHTREE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421764",
            "telephone_number": "678-843-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIES",
        "first_name": "ALICIA",
        "middle_name": "DUNCAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "WEBB",
            "middle_name": "DUNCAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Jeanneret Lopez, MD
• Pierre Jeanty
• Mark Justin Jedrzejczak
• Angel Jeff, NNP
• Sarah Anne Jeffcoat, DNP, CPNP-PC
• Maximillian A Jefferies, LPC, NCC, MFT
• Courtney Alyse Jeffers
• Hayley Elizabeth Jeffers
• Sarah Lorraine Jeffers, M.D.
• Andrea Renee Jefferson-Saboor, MSN, FNP-C

• All providers in Atlanta, GA
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.