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MR. JEFFREY N HAIRSTON PA-C NPI 1063625051


NPI Information

NPI: 1063625051
Provider Name: MR. JEFFREY N HAIRSTON, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2041 MESA VALLEY WAY
SUITE 100
AUSTELL, GA
ZIP 30106
Phone: (770) 944-1100
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MR. Jeffrey N Hairston, PA-C is a surgical physician assistant in Austell, GA with 30 years of experience. MR. Jeffrey N Hairston, PA-C NPI is 1063625051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

2041 MESA VALLEY WAY
SUITE 100
AUSTELL, GA
ZIP 30106-828
Phone: (770) 944-1100
Fax: (770) 941-7227

The NPI 1063625051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)

The enumeration date for this NPI number is 5/7/2007 and was last updated on 7/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant002922GEORGIANo
2363AS0400XPhysician AssistantSurgical002922GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120297I2477MEDICARE PINGEORGIA
2507133071FMEDICAIDGEORGIA
3507133071GMEDICAIDGEORGIA
4507133071EMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.