NPIMap

Organization Active NPI

Jeffers Mann & Artman Pediatric & Adolesent Medicine PA

  • Pediatric Adolescent Medicine Physician
  • Raleigh, NC
National Provider Identifier
1962466631
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
JEFFERS MANN & ARTMAN PEDIATRIC & ADOLESENT MEDICINE PA
Practice address
2406 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6678
Phone
(919) 786-5001
Fax
(919) 786-5051
NPI assigned
Apr 12, 2006
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Theresa Walker Jeffers
Title
Adminstration
Phone
(919) 786-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

2406 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6678

Mailing address

2406 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6678
Phone (919) 786-5001

Other identifiers 2

IdentifierTypeStateIssuer
0157JOtherNCBLUE CROSS BLUE SHIELD ID
590157JMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131025000850 NC Part B Supplier - Clinic/Group Practice 0840425922 Receives reassigned benefits from 33 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

104 Medspring Dr
#100
Clayton, NC 27520
Phone (919) 359-3500

2406 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 786-5001

3150 Rogers Rd
Ste 102
Wake Forest, NC 27587
Phone (502) 629-8828

Interoperability endpoints

  • Direct secure messaging: alexandrasunnenberg@jmp.allscriptsdirect.net
  • Direct secure messaging: amandazarick@jmp.allscriptsdirect.net
  • Direct secure messaging: andrewkleinberg@jmp.allscriptsdirect.net
  • Direct secure messaging: annikakoppen@jmp.allscriptsdirect.net
  • Direct secure messaging: apekshasaxena-reddy@jmp.allscriptsdirect.net
  • Direct secure messaging: ashleybekampis@jmp.allscriptsdirect.net
  • Direct secure messaging: ashleytyler@jmp.allscriptsdirect.net
  • Direct secure messaging: bridgetdegele@jmp.allscriptsdirect.net
  • Direct secure messaging: christinelehrich@jmp.allscriptsdirect.net
  • Direct secure messaging: christopherbarry@jmp.allscriptsdirect.net
  • Direct secure messaging: dawnscott@jmp.allscriptsdirect.net
  • Direct secure messaging: deniseyoung@jmp.allscriptsdirect.net
  • Direct secure messaging: esthernissao@jmp.allscriptsdirect.net
  • Direct secure messaging: gregoryadams@jmp.allscriptsdirect.net
  • Direct secure messaging: hazelgarrish@jmp.allscriptsdirect.net
  • Direct secure messaging: jamessharer@jmp.allscriptsdirect.net
  • Direct secure messaging: joueltaylor@jmp.allscriptsdirect.net
  • Direct secure messaging: julianaclark@jmp.allscriptsdirect.net
  • Direct secure messaging: kellyantoine@jmp.allscriptsdirect.net
  • Direct secure messaging: kellywerner@jmp.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1962466631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076678",
            "telephone_number": "919-786-5001",
            "fax_number": "919-786-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076678",
            "telephone_number": "919-786-5001",
            "fax_number": "919-786-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERS MANN & ARTMAN PEDIATRIC & ADOLESENT MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "ADMINSTRATION",
        "authorized_official_telephone_number": "919-786-5001"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "0157J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590157J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.