Edward E Jeffries, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

011928 Issued in LA

Practice address

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809-3674

Phone

(225) 763-4900

Fax

(225) 763-4938

NPI assigned

Jun 27, 2005

Last updated

Nov 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 LA

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baton Rouge General Physicians, Inc.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1992729560

  Family Medicine

  Medicare reassignment NPD
• Baton Rouge General Physicians, Inc.

  dba BRGP Louisiana Sleep Foundation

  • Sleep Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1518688985
  NPD

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1912903550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261166",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708261166",
            "telephone_number": "337-289-8971",
            "fax_number": "337-289-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE",
            "address_2": "STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093674",
            "telephone_number": "225-763-4900",
            "fax_number": "225-763-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "EDWARD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "011928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1670537",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Jefferson, LPC
• Mylecka Shay Jefferson, LPC
• Sharon Jefferson
• Zaquoria D Jefferson
• Jeffrey S. Toler, D.D.S., Millerville Dental Group, a Professional Cor (Millerville Dental Group)
• Konstantine Jegorov, CSFA/CST
• Shawna Nikia Jeider, PA
• Thomas Abraham Jakob Jeider
• Ariel Jenkins
• Aspen Jenkins

• Family Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.