MRS. ANTOINETTE Y. L. JEFFERS (NPI# 1639136161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639136161 |
| Entity Type | Individual |
| Full Name | MRS. ANTOINETTE Y. L. JEFFERS |
| Credential | MMSC, PA-C |
| Practice Address |
2885 Headland Dr East Point GA 30344-6652 |
| Mailing Address |
5478 Spelman Dr Sw Atlanta GA 30331-8093 |
| Practice Telephone | 4043449333 |
| Practice Fax Number | 4043449922 |
| Mailing Telephone | 4042987586 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002228 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 901687708C | 05 |
| Street Address |
2885 HEADLAND DR |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207881 | Precious L Braswell | Obstetrics & Gynecology | 2885 Headland Dr, East Point, GA 30344-6652 | 2005-07-07 |
| 1639255045 | Precious L. Braswell, Md, Ob/gyn, LLC | Obstetrics & Gynecology | 2885 Headland Dr, East Point, GA 30344-6652 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609212661 | Laresa M Woodard | Physician Assistant | 1422 Cleveland Ave, East Point, GA 30344-6983 | 2013-05-17 |
| 1538491717 | Jamie Davis Primosch | Physician Assistant | 2739 Felton Dr, East Point, GA 30344-3603 | 2010-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST POINT |
| Zip Code | 30344 |
Please comment or provide details below to improve the information on MRS. ANTOINETTE Y. L. JEFFERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.