Individual provider Active NPI

Noni Gazelle Jefferson

  • Adult Health Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1871140319
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5012215 Issued in NC
Practice address
2030 Windsor Run LN
Matthews, NC 28105-0054
Phone
(704) 443-6250
NPI assigned
Aug 20, 2019
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000000MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203001537 NC Practitioner - Nurse Practitioner 8325474703 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
248305NCMDRegistered Nurse
5012215NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group North Carolina CurrentSince Feb 21, 2024 Accepting new patients
Curana Health Medical Group LLC CurrentSince May 5, 2021 Accepting new patients
Ih Physician Services PC CurrentSince Jun 10, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 13, 2024 Accepting new patients
Ih Physician Services, PC CurrentSince Jun 10, 2024 Accepting new patients
Prosper Healthcare and Consulting PLLC Adult Health Past Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation PastSince May 18, 2026 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation PastSince May 18, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.