MR. DERRICK JEFFERSON (NPI# 1396228573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396228573 |
| Entity Type | Individual |
| Full Name | MR. DERRICK JEFFERSON |
| Practice Address |
777 5th St West Point MS 39773-2239 |
| Practice Telephone | 6622754718 |
| Practice Fax Number | 8882832894 |
| Mailing Telephone | 6622754718 |
| Mailing Fax Number | 8882832894 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
777 5TH ST |
| City | WEST POINT |
| State | MS |
| Zip Code | 39773-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1548809833 | Karen Annabelle Cuesta | Physical Therapist | 1122 N. Eshman Avenue, West Point, MS 39773 | 2020-01-03 |
| 1235780784 | Kimberly Kay Patterson | Pharmacist | 5509 Us-45 Alt S, West Point, MS 39773 | 2019-09-26 |
| 1821584673 | Amber L Brasfield | Nurse Practitioner | 5713 Hwy 45 Alt S, West Point, MS 39773 | 2018-07-05 |
| 1285185322 | Jordana Baker | Pharmacist | 5509 Highway 45 Alternate, West Point, MS 39773 | 2016-10-24 |
| 1144685900 | Renal Care Group Tupelo, LLC | Clinic/Center | 1612 West Church Hill Road, West Point, MS 39773 | 2015-12-22 |
| 1326437864 | Amber Orman | Behavioral Analyst | 222 Mary Holmes Drive, West Point, MS 39773 | 2015-01-22 |
| 1972945780 | Point City Drugs LLC | Pharmacy | 7683 Highway 45 Alt N, West Point, MS 39773 | 2013-07-22 |
| 1932409083 | Barbrette A. Baldwin | Obstetrics & Gynecology | 373 Medical Center Cir, West Point, MS 39773 | 2010-10-22 |
| 1801112115 | Dawn M Holmes | Counselor | 223 Court St, West Point, MS 39773 | 2010-04-12 |
| Find all providers in zip 39773 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093296 | Leavy Terry | Non-emergency Medical Transport (VAN) | 5790 E Church Hill Rd, West Point, MS 39773-5117 | 2019-03-25 |
| 1952872798 | Roy Lee Reed | Non-emergency Medical Transport (VAN) | 9696 Highway 45 Alt N, West Point, MS 39773-0433 | 2018-12-05 |
| 1427518927 | Serenity Transportation | Non-emergency Medical Transport (VAN) | 27472 King William Rd, West Point, VA 23181-3504 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116713 | Harold Cooper | Non-emergency Medical Transport (VAN) | 790 County Road 101, Abbeville, MS 38601-9663 | 2020-08-30 |
| 1093327884 | T & T Nemt Services, LLP | Non-emergency Medical Transport (VAN) | 2927 Highway 532, Taylorsville, MS 39168-4633 | 2020-08-21 |
| 1851903264 | Irvin Charles Jackson | Non-emergency Medical Transport (VAN) | 327 East Street, Shubuta, MS 39360 | 2020-08-18 |
| 1891304234 | Catrina D Kitchens | Non-emergency Medical Transport (VAN) | 212 N Bierdeman Rd, Pearl, MS 39208-4611 | 2020-07-30 |
| 1073131835 | Moral Lyft | Non-emergency Medical Transport (VAN) | 615a Govan Ave, Holly Springs, MS 38635-2110 | 2020-07-08 |
| 1518581511 | Tracey Bryant | Non-emergency Medical Transport (VAN) | 1160 Rosewood St, Jackson, MS 39212-3966 | 2020-06-04 |
| 1194346676 | Watson Transportation Com LLC | Non-emergency Medical Transport (VAN) | 630 Norris St, Greenville, MS 38703-6042 | 2020-05-06 |
| 1851910830 | Stepping Out Transportation Service LLC | Non-emergency Medical Transport (VAN) | 523 Brentwood Ave, Greenwood, MS 38930-6910 | 2020-04-10 |
| 1275169773 | Bruce Edward Hunt | Non-emergency Medical Transport (VAN) | 116 Pine Dr, Hattiesburg, MS 39401-8408 | 2020-03-16 |
| 1831723154 | Love Thy Neighbor Non Emergency Transportation Service | Non-emergency Medical Transport (VAN) | 5970 Ferncreek Dr, Jackson, MS 39211-2723 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | WEST POINT |
| Zip Code | 39773 |
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| 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.