1. Home
  2. Directory
  3. Tennessee
  4. Kingsport
  5. Optometrist
  6. NPI Profile

DR. BRENNA JEFFRIES OD
NPI 1205522828
Optometrist in Kingsport, TN

Active since April 17, 2023PECOS Enrolled
4617 FORT HENRY DR, KINGSPORT, TN 37663(423) 239-5491 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Brenna Jeffries Od NPPES

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

DR. BRENNA JEFFRIES OD (NPI 1205522828) is an individual optometrist in Kingsport, Tennessee, licensed in Tennessee (3909) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2023).

NPPES Registry Identity

NPI1205522828
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRENNA JEFFRIESCredential: OD
Location Address4617 FORT HENRY DRKingsport, TN 37663-2616
Mailing Address4617 Fort Henry DrKingsport, TN 37663-2616 · (423) 239-5491
Phone(423) 239-5491
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2023
Enumeration DateApril 17, 2023
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1205522828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TN · 3909
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4617 FORT HENRY DR, Kingsport, TN 37663
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brenna Jeffries Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799218285
PECOS Enrollment IDI20241022004519
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 Reassignment

Medicare enrollment records show Brenna Jeffries reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mac2, PLLC
Same address
Durable Medical Equipment & Medical Supplies
4617 FORT HENRY DR
Kingsport, TN 37663
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1457522237 (423) 239-5491

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

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37663 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. WILLIAM PAUL MCMILLIN O.D.
Optometrist
4617 FORT HENRY DR
KINGSPORT, TN 37663
Sullivan County (423) 239-5491
MAC2, PLLC
Durable Medical Equipment & Medical Supplies
4617 FORT HENRY DR
KINGSPORT, TN 37663
Sullivan County (423) 239-5491
WILLIAM C MCMILLIN OD
Optometrist
4617 FORT HENRY DR
KINGSPORT, TN 37663
Sullivan County (423) 239-5491

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 Brenna Jeffries's NPI number?

The NPI number for Brenna Jeffries is 1205522828. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Brenna Jeffries located?

Brenna Jeffries practices at 4617 Fort Henry Dr, Kingsport, TN 37663. The listed phone number is (423) 239-5491.

What is Brenna Jeffries's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Brenna Jeffries enrolled in Medicare?

Yes. Brenna Jeffries is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenna Jeffries's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenna Jeffries reassigns Medicare benefits to Mac2, PLLC (Kingsport, TN). The 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 Brenna Jeffries's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brenna Jeffries accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 9 other insurers list Brenna Jeffries as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brenna Jeffries was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.