JEFFERSON MEDICAL GROUP
NPI 1104432806
Clinic/Center - Rural Health in Brunswick, MO
About Jefferson Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON MEDICAL GROUP (NPI 1104432806) is a healthcare organization registered as a rural health in Brunswick, Missouri and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Lesley Delaney, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D1006403
Jefferson Medical Group · Carrollton, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jefferson Medical Group's NPI number?
The NPI number for Jefferson Medical Group is 1104432806. It was assigned to this organization in the NPPES registry on September 17, 2020.
Where is Jefferson Medical Group located?
Jefferson Medical Group is located at 807 E Broadway St, Brunswick, MO 65236. The listed phone number is (660) 542-1695.
What is Jefferson Medical Group's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Jefferson Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D1006403) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jefferson Medical Group was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jefferson Medical Group · NPI 1104432806
Rural Health organization in Brunswick, Missouri. Organization record, active in the CMS NPPES registry since September 17, 2020.
## Identity
- **NPI:** 1104432806 (Entity type: Organization)
- **Enumerated:** September 17, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Lesley Delaney, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 807 E BROADWAY ST, Brunswick, MO 65236-1468
- **Phone:** (660) 542-1695
## Record status
- **NPPES last updated:** May 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104432806) · Data from the CMS NPPES public registry.