1. Home
  2. Directory
  3. Tennessee
  4. Columbia
  5. Internal Medicine
  6. NPI Profile

KELLEY VINCENT JEFFERSON MD
NPI 1154398105
Internal Medicine in Columbia, TN

Active since March 08, 2006PECOS Enrolled
76.78/100
CMS Quality Rating
1224 TROTWOOD AVE, COLUMBIA, TN 38401(931) 359-4506(931) 490-7043 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kelley Vincent Jefferson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY VINCENT JEFFERSON MD (NPI 1154398105) is an individual internal medicine provider in Columbia, Tennessee, licensed in Tennessee (37199) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154398105
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELLEY VINCENT JEFFERSONCredential: MD
Location Address1224 TROTWOOD AVEColumbia, TN 38401-4802
Mailing Address2717 East Oakland AvenueJohnson City, TN 37601-1843 · (423) 926-2358 · Fax (423) 926-2680
Phone(931) 359-4506
Fax(931) 490-7043
Sole ProprietorYes
Enumeration DateMarch 8, 2006
Last NPPES UpdateJanuary 9, 2024
✔ NPI 1154398105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TN · 37199✔ Licensed in TN · MD37199
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License MD37199 (TN)
1224 TROTWOOD AVE, Columbia, TN 38401
Open in Google Maps ↗

Other Identifiers 4

Medicaid1505466TN
Medicaid3883064TN
Medicaid3283015TN
Other4192108TN · Bcbst

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Vincent Jefferson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelley Jefferson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Health Transitions, PLLC
268 mi
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group
NPI 1922463470 (423) 926-2358
Renuven Aco PLLC
268 mi
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group
NPI 1568209872 (423) 926-2358

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
536 services192 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
278 services83 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
192 services175 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
55 services46 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
53 services51 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
38 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers48 claims52 services$18.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers79 claims79 services$111.29 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$37.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLY HORVATH PHARMD
Pharmacist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
ELIZABETH FOSTER CRNA
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
JORDAN DANA ROSENSTEIN
Physician Assistant
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
BETHANY G SUMMERFORD MD
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
DR. MANISHA RAJ M.D.
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 380-4072
KENDRA RENNELL CRNA
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
ANTHONY DONALD HAASE III M.D.
Pediatrics
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 380-4072
MS. JULIE ANN SACCO PT
Physical Therapist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111

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 Kelley Jefferson's NPI number?

The NPI number for Kelley Jefferson is 1154398105. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Kelley Jefferson located?

Kelley Jefferson practices at 1224 Trotwood Ave, Columbia, TN 38401. The listed phone number is (931) 359-4506.

What is Kelley Jefferson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelley Jefferson enrolled in Medicare?

Yes. Kelley Jefferson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelley Jefferson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Jefferson reassigns Medicare benefits to 2 organizations: Integrated Health Transitions, PLLC (Johnson City, TN) and Renuven Aco PLLC (Johnson City, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Jefferson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelley Jefferson was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.