Michael Jefferies, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101229307 Issued in VA

Practice address

112 Pine Creek Dr
Hampton, VA 23669-1244

Phone

(757) 810-3232

Fax

(757) 788-8816

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Arlington County Government Department of Managment & Finance

  • Community/Behavioral Health Agency
  • Arlington, VA
  • NPI 1043280415

  DC

  Medicare reassignment NPD
• Hampton Newport News Community Services Board

  • Community/Behavioral Health Agency
  • Hampton, VA
  • NPI 1659424448
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1902884901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PINE CREEK DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691244",
            "telephone_number": "757-810-3232",
            "fax_number": "757-788-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PINE CREEK DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691244",
            "telephone_number": "757-810-3232",
            "fax_number": "757-788-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIES",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101229307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902884901",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sangjae Jang, RPH
• John Thomas Janousek, M.D.
• Glennis Jarrett, D.D.S.
• Devin Jarvis, PHARM.D
• Jasper N Watts,DDS,LLC
• Arthur Darrell Jefferson
• Rashida Jefferson, LCSW
• Gail Jeffrey, AAS IN HUMAN SERV
• William Clinton Jeffrey, D.M.D.
• Koorosh Jeiran, PHARM.D

• Psychiatry Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.

Verify at the official NPI Registry.