Individual provider Active NPI

Elizabeth Hubbard Jeffords, M.D.

  • Child & Adolescent Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1891883005
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
23768 Issued in SC
Practice address
3710 Landmark Dr Ste 202
Columbia, SC 29204-4034
Phone
(803) 908-9591
Fax
(248) 294-1286
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 23768 SC Primary

Addresses

Primary practice location

3710 Landmark Dr Ste 202
Columbia, SC 29204-4034

Mailing address

3710 Landmark Dr Ste 202
Columbia, SC 29204-4034
Phone (803) 708-9591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20091014000158 SC Practitioner - Psychiatry 8426194978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical University of South Carolina College of Medicine, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3710 Landmark Dr
Suite 202
Columbia, SC 29204-4034
Phone (803) 708-9591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Solutions of the Carolinas CurrentSince Nov 20, 2022 Accepting new patients
Genesis Healthcare, Inc. CurrentSince Aug 27, 2013 Accepting new patients
Elizabeth H Jeffords MD PA Child & Adolescent Psychiatry CurrentSince Nov 1, 2021 Accepting new patients
Genesis Healthcare, Inc. CurrentSince Aug 27, 2013 Accepting new patients
Genesis Healthcare, Inc. Past Accepting new patients
Pediatric School Psychology: Evaluation and Consultation Services Past Accepting new patients
Lake Psychological Services, LLC Past Accepting new patients

Locations

3710 Landmark Dr
Ste 202
Columbia, SC 29204
Phone (803) 708-9591

201 Cashua St
Darlington, SC 29532
Phone (843) 383-7452

115 Exchange St
Darlington, SC 29532
Phone (803) 254-3676

1523 Heritage Ln
Florence, SC 29505
Phone (843) 673-0900

211 S Jones Rd
Olanta, SC 29114
Phone (843) 396-9723

457 Spruce St
Walterboro, SC 29488
Phone (843) 584-4353

Interoperability endpoints

  • Direct secure messaging: elizabeth.jeffords.1@20108.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1891883005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 LANDMARK DR STE 202",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044034",
            "telephone_number": "803-708-9591",
            "fax_number": "248-294-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 LANDMARK DR STE 202",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044034",
            "telephone_number": "803-908-9591",
            "fax_number": "248-294-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFORDS",
        "first_name": "ELIZABETH",
        "middle_name": "HUBBARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "23768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.