1659371300 NPI number — DR. MARGARET NICHOLS JEFFRIES-HONEYCUTT MD

Table of content: DR. MARGARET NICHOLS JEFFRIES-HONEYCUTT MD (NPI 1659371300)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659371300 NPI number — DR. MARGARET NICHOLS JEFFRIES-HONEYCUTT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JEFFRIES-HONEYCUTT
Provider First Name:
MARGARET
Provider Middle Name:
NICHOLS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659371300
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/27/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 CLINIC DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHLANDS
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24641-1102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-964-1261
Provider Business Mailing Address Fax Number:
276-964-1333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 CLINIC DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHLANDS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24641-1102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-964-1261
Provider Business Practice Location Address Fax Number:
276-964-1333
Provider Enumeration Date:
07/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  0101036700 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 006776159 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 12-00759 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 4392248 . This is a "AETNA PPO" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 541182305 . This is a "ASHMED HEALTH PARTNERSHIP" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 541182305 . This is a "CORVEL CORPORATION" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: F143 . This is a "CAREFIRSTBLUECHOICE" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 541182305 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 541182305 . This is a "TRICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 289944 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 541182305 . This is a "VA HEALTH NETWORK" identifier , issued by the state of ( VI ) . This identifiers is of the category "OTHER".
  • Identifier: 003684 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 133195 . This is a "SOUTHERN HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 520469 . This is a "AETNA HMO" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 541182305 . This is a "ONE HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 503245 . This is a "NCPPO" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 541182305 . This is a "FIDELITY PMG" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 006776159 . This is a "UNICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 218406 . This is a "MAMSI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 541182305 . This is a "PHCS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 655447 . This is a "FIRST HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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