DR. THOMAS TERRYL JEFFERSON MD
NPI 1790891448
General Practice in Little Rock, AR

Q: What is Thomas Jefferson's NPI number?

The NPI number for Thomas Jefferson is 1790891448. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Thomas Jefferson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Jefferson was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment

1100 N UNIVERSITY AVE STE 200, LITTLE ROCK, AR 72207(888) 710-8220(866) 573-0761 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2025, May 26, 2023, Feb 27, 2020 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Thomas Terryl Jefferson Md NPPES

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

DR. THOMAS TERRYL JEFFERSON MD (NPI 1790891448) is an individual general practice provider in Little Rock, Arkansas, licensed in Arkansas (C4604) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1972).

NPPES Registry Identity

NPI1790891448

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. THOMAS TERRYL JEFFERSONCredential: MD

Location Address1100 N UNIVERSITY AVE STE 200Little Rock, AR 72207-6360

Mailing AddressPo Box 1848Mena, AR 71953-1841 · (888) 710-8220 · Fax (866) 573-0761

Phone(888) 710-8220

Fax(866) 573-0761

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1972

Enumeration DateAugust 22, 2006

Last NPPES UpdateJune 26, 20256 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1790891448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AR · C4604

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1100 N UNIVERSITY AVE STE 200, Little Rock, AR 72207

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Other Identifiers 1

Medicaid104422001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Terryl Jefferson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658408497

PECOS Enrollment IDI20100427000427

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.

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.

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

51 services20 patients

Referred Medical Equipment & Supplies CMS DME claims

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

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

1 supplier12 claims12 services$76.02 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 17

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

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