Teresa Renee Jeffers, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

E6518 Issued in AR

Practice address

11614 Huron LN Ste a
Little Rock, AR 72211-1896

Phone

(501) 221-1956

Fax

(501) 219-2327

NPI assigned

Apr 12, 2007

Last updated

Jun 17, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

University of Arkansas College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007

Merit-based Incentive Payment System (MIPS)

Final score

19.78 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

65.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Four Seasons Allergy and Asthma Clinic PA

  • Allergy Physician
  • Little Rock, AR
  • NPI 1265727259
  Medicare reassignment NPD Authorized official
• Joseph W Matthews , MD, PA

  • Allergy Physician
  • Little Rock, AR
  • NPI 1689883019
  NPD (past)

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

• St Vincent Infirmary Medical Center

  dba St Vincent Infirmary Medical Center - GeroPsych Unit

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  dba St. Vincent Health System

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431
  Care Compare affiliation

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1871717033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 HURON LN STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111896",
            "telephone_number": "501-221-1956",
            "fax_number": "501-219-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 HURON LN STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111896",
            "telephone_number": "501-221-1956",
            "fax_number": "501-219-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "TERESA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AR",
            "license": "E6518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jcas2, Inc. (Elite Chiropractic)
• JCR Management Corporation (Baker HealthCare)
• Kaitlyn Michelle Jeffcoat, APRN
• Robin Jeffers Perry, M.D.
• Charles Darwin Jeffers, M.D.
• Jefferson Comprehensive Care System, Inc (Little Rock Community Health Center)
• Jefferson Comprehensive Care System, Inc
• Jefferson Comprehensive Care System, Inc (Downtown Little Rock Community Health Center)
• Jefferson Comprehensive Care System, Inc (Opeh Hands Center)
• Akilah Andrea Jefferson, M.D.

• Allergy Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Allergy Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.