Individual provider Active NPI

Kirk R. Jeffreys III, M.D.

  • Ophthalmology Physician
  • Jackson, MS
National Provider Identifier
1902998040
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14957 Issued in MS
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00120588MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000646 MS Practitioner - Ophthalmology 7517002991 Reassigns benefits to 2 organizations

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 100Reported as group
Quality
100
Improvement activities
40
Cost
46.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14957MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Professionals of Mississippi, PLLC Ophthalmology CurrentSince Feb 26, 2024 Accepting new patients
Eyecare Professionals of Mississippi, PLLC Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients
Eyecare Surgery Center, LLC CurrentSince Jul 20, 2023 Accepting new patients
Eyecare Professionals PA Ophthalmology CurrentSince Oct 1, 2001 Accepting new patients
Eyecare Professionals PA Ophthalmology CurrentSince Oct 1, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.