Active NPI
Kirk R. Jeffreys III, M.D.
- Ophthalmology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 14957
- Practice address
- 1501 Lakeland Dr
Suite 100
Jackson, MS 39216-4834 - Phone
- (601) 366-1085
- Fax
- (601) 366-5186
- NPI assigned
- Sep 28, 2006
- Last updated
- Aug 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 14957 | MS | Primary |
Addresses
Primary practice location
1501 Lakeland Dr
Suite 100
Jackson, MS 39216-4834
Mailing address
1501 Lakeland Dr
Suite 100
Jackson, MS 39216-4834
Phone (601) 366-1085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120588 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Mississippi School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 Lakeland Dr
Suite 100
Jackson, MS 39216-4869
Phone (601) 366-1085
240 Belle Meade PT
Flowood, MS 39232-3310
Phone (601) 366-1085
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.87 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 46.24
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 556 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14957 | MS | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Professionals of Mississippi, PLLC | Ophthalmology | Current | Accepting new patients |
| Eyecare Professionals of Mississippi, PLLC | Ophthalmology | Current | Accepting new patients |
| Eyecare Surgery Center, LLC | Current | Accepting new patients | |
| Eyecare Professionals PA | Ophthalmology | Current | Accepting new patients |
| Eyecare Professionals PA | Ophthalmology | Current | Accepting new patients |
Locations
240 Belle Meade Pt
Flowood, MS 39232
Phone (601) 366-1085
1501 Lakeland Dr
Ste 100
Jackson, MS 39216
Phone (601) 355-1085
1501 Lakeland Dr
Ste 101
Jackson, MS 39216
Phone (601) 366-1085
Interoperability endpoints
- kjeffreys@eyecarems.emadirect.md
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Jackson, MS
- NPI 1295441921
-
- Ambulatory Surgical Clinic/Center
- Jackson, MS
- NPI 1821336371
-
- Ophthalmology Physician
- Flowood, MS
- NPI 1629784269
-
- Ophthalmology Physician
- Jackson, MS
- NPI 1932224748
-
- Ophthalmology Physician
- Flowood, MS
- NPI 1992389720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1902998040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 LAKELAND DR",
"address_2": "SUITE 100",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164834",
"telephone_number": "601-366-1085",
"fax_number": "601-366-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 LAKELAND DR",
"address_2": "SUITE 100",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164834",
"telephone_number": "601-366-1085",
"fax_number": "601-366-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREYS",
"first_name": "KIRK",
"middle_name": "R.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "14957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120588",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.