Kelley Vincent Jefferson, MD - Medicare Internal Medicine in Columbia, TN

  1. Home
  2. Internal Medicine
  3. TN
  4. Columbia
Kelley Vincent Jefferson, MD is a medicare enrolled "Internal Medicine" physician in Columbia, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Cogent Healthcare Of Tennessee, Pc and her current practice location is 1224 Trotwood Ave, Columbia, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 359-4506.

Kelley Vincent Jefferson is licensed to practice in Tennessee (license number 37199) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154398105.

Contact Information

Kelley Vincent Jefferson, MD
1224 Trotwood Ave,
Columbia, TN 38401-4802
(931) 359-4506
(931) 490-7043

Map and Direction




Physician's Profile

Full NameKelley Vincent Jefferson
GenderFemale
SpecialityInternal Medicine
Experience25 Years
Location1224 Trotwood Ave, Columbia, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelley Vincent Jefferson attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1999
  NPI Data:
  • NPI Number: 1154398105
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 01/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335210616
  • Enrollment ID: I20080613000067

Medical Identifiers

Medical identifiers for Kelley Vincent Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154398105NPI-NPPES
1505466MedicaidTN
3883064MedicaidTN
3283015MedicaidTN
4192108OtherTNBCBST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD37199 (Tennessee)Secondary
207R00000XInternal Medicine 37199 (Tennessee)Primary
207R00000XInternal Medicine MD37199 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Caris HealthcareNashville, TNHospice
Marshall Medical CenterLewisburg, TNHospital
Nhc-maury Regional Transitional Care CenterColumbia, TNNursing home
Nhc Healthcare, LewisburgLewisburg, TNNursing home
Nhc Healthcare, OakwoodLewisburg, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cogent Healthcare Of Tennessee, Pc862822116556

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelley Vincent Jefferson allows following entities to bill medicare on her behalf.
Entity NameMaury Regional Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252
Entity NameCogent Healthcare Of Tennessee, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952654246
PECOS PAC ID: 8628221165
Enrollment ID: O20130110000564
Entity NameIntegrated Health Transitions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922463470
PECOS PAC ID: 7315242302
Enrollment ID: O20160301000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley Vincent Jefferson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelley Vincent Jefferson, MD
2717 East Oakland Avenue,
Johnson City, TN 37601-1843

Ph: (423) 926-2358		Kelley Vincent Jefferson, MD
1224 Trotwood Ave,
Columbia, TN 38401-4802

Ph: (931) 359-4506

Reviews and Comments


Internal Medicine Doctors in Columbia, TN

Bethany G Summerford, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    
Jessica Joseph-alexis, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1220 Trotwood Ave Ste 401, Columbia, TN 38401
Phone: 931-388-8622    
Dr. Hany Nimr Rezk, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401
Phone: 931-388-3209    Fax: 931-388-0105
Anthony Donald Haase Iii, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-380-4072    Fax: 931-490-7043
Christopher R Edwards, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    
Dr. Cheryl Buttram Clayton, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401
Phone: 931-388-3209    Fax: 931-388-0105
John Spencer Jensen, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1222 Trotwood Ave, Suite 503, Columbia, TN 38401
Phone: 931-490-7775    Fax: 931-490-7797

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.