Individual provider Active NPI

Carey Jean Jefferson, RN, CNM

  • Advanced Practice Midwife
  • Chapel Hill, NC
National Provider Identifier
1922449495
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
521 Issued in NC
Practice address
120 Conner Dr Ste 101
Chapel Hill, NC 27514-7092
Phone
(919) 942-8571
Fax
(919) 942-6355
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 521 NC Primary
Registered Nurse 163W00000X 171807 NC

Addresses

Primary practice location

120 Conner Dr Ste 101
Chapel Hill, NC 27514-7092

Mailing address

930 Martin Luther King Jr Blvd
Suite 202
Chapel Hill, NC 27514-2656
Phone (919) 933-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718000194 NC Practitioner - Certified Nurse Midwife (CNM) 3678865334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
521NCMDMarriage & Family Therapist
171807NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Aug 23, 2021 Accepting new patients
Whap, PA Past Accepting new patients

Locations

120 Conner Dr
Ste 101
Chapel Hill, NC 27514
Phone (919) 942-8571

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: cjefferson501213@direct.medicine.duke.edu
  • Direct secure messaging: carey.jefferson.1@7773.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1922449495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 202",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142656",
            "telephone_number": "919-933-3301",
            "fax_number": "919-933-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CONNER DR STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147092",
            "telephone_number": "919-942-8571",
            "fax_number": "919-942-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "CAREY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "521",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "171807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.