Active NPI
Noni Gazelle Jefferson
- Adult Health Nurse Practitioner
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5012215
- Practice address
- 2030 Windsor Run LN
Matthews, NC 28105-0054 - Phone
- (704) 443-6250
- NPI assigned
- Aug 20, 2019
- Last updated
- Mar 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5012215 | NC | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 5012215 | NC | |
| Registered Nurse | 163W00000X | 248305 | NC |
Addresses
Primary practice location
2030 Windsor Run LN
Matthews, NC 28105-0054
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (704) 443-6250
Other practice location 1
301 E Wendover Ave Ste 315
Greensboro, NC 27401-1210
Phone (336) 832-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Medicaid | NC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248305 | NC | MD | Registered Nurse |
| 5012215 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group North Carolina | Current | Accepting new patients | |
| Curana Health Medical Group LLC | Current | Accepting new patients | |
| Ih Physician Services PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Ih Physician Services, PC | Current | Accepting new patients | |
| Prosper Healthcare and Consulting PLLC | Adult Health | Past | Accepting new patients |
| The Moses H Cone Memorial Hospital Operating Corporation | Past | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Locations
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
4505 Falls of Neuse Rd
Ste 650
Raleigh, NC 27609
Phone (919) 877-9959
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
100 Pavilion Way
Ste E4
Southern Pnes, NC 28387
Phone (910) 684-5078
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Southern Pines, NC
- NPI 1447959093
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
dba Cone Health Primary Care at MedCenter High Point
- Family Medicine Physician
- High Point, NC
- NPI 1801137435
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1770469389
-
- Family Nurse Practitioner
- Jamestown, NC
- NPI 1033801980
Adult Health
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
-
dba Cone Health Community Pharmacy at Eden
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1871140319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "704-443-6250",
"fax_number": "704-443-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 WINDSOR RUN LN",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050054",
"telephone_number": "704-443-6250"
}
],
"practiceLocations": [
{
"address_1": "301 E Wendover Ave Ste 315",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274011210",
"country_code": "US",
"telephone_number": "336-832-4444",
"fax_number": "336-832-4445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEFFERSON",
"first_name": "NONI",
"middle_name": "GAZELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5012215",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5012215",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "248305",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.