Active NPI
Devinn L Jeffers, P.A.
- Physician Assistant
- Midland, MI
National Provider Identifier
1952779555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007502
- Practice address
- 3009 N Saginaw Rd
Midland, MI 48640-4555 - Phone
- (989) 633-1350
- NPI assigned
- Sep 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007502 | MI | Primary |
Addresses
Primary practice location
3009 N Saginaw Rd
Midland, MI 48640-4555
Mailing address
2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900
Other practice location 1
1250 E Michigan Ave
Grayling, MI 49738-7074
Phone (989) 348-0550
Other practice location 2
2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900
Other names 1
- Devinn L Banning
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | djeffers@direct.mhc.net |
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)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- djeffers@direct.mhc.net
- djeffers115630@direct.covenanthealthcare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1952779555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 W HOUGHTON LAKE DR",
"city": "PRUDENVILLE",
"state": "MI",
"postal_code": "486519624",
"telephone_number": "989-366-2900",
"fax_number": "989-366-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 N SAGINAW RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486404555",
"telephone_number": "989-633-1350"
}
],
"practiceLocations": [
{
"address_1": "1250 E Michigan Ave",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "497387074",
"country_code": "US",
"telephone_number": "989-348-0550",
"fax_number": "989-348-0473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2585 W Houghton Lake Dr",
"address_purpose": "LOCATION",
"city": "Prudenville",
"state": "MI",
"postal_code": "486519624",
"country_code": "US",
"telephone_number": "989-366-2900",
"fax_number": "989-366-1166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEFFERS",
"first_name": "DEVINN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-13",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007502",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "djeffers@direct.mhc.net",
"affiliation": "N",
"address_1": "2585 W Houghton Lake Dr",
"city": "Prudenville",
"state": "MI",
"country_code": "US",
"postal_code": "486519624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DEVINN",
"last_name": "BANNING",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.