Active NPI
Aginah Jefferson, RN
- Registered Nurse
- Lawrenceville, GA
National Provider Identifier
1912370255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 251561
- Practice address
- 175 Gwinnett Dr Ste 360
Lawrenceville, GA 30046-8437 - Phone
- (678) 209-2337
- NPI assigned
- Nov 9, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 251561 | GA | Primary |
Addresses
Primary practice location
175 Gwinnett Dr Ste 360
Lawrenceville, GA 30046-8437
Mailing address
1963 Tulip Petal Rd
Auburn, GA 30011-2160
Phone (334) 750-1214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251561 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1912370255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 TULIP PETAL RD",
"city": "AUBURN",
"state": "GA",
"postal_code": "300112160",
"telephone_number": "334-750-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 GWINNETT DR STE 360",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468437",
"telephone_number": "678-209-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "AGINAH",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "251561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.