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NONI GAZELLE JEFFERSON
NPI 1871140319
Nurse Practitioner - Adult Health in Matthews, NC

Active since August 20, 2019PECOS Enrolled
2030 WINDSOR RUN LN, MATTHEWS, NC 28105(704) 443-6250 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Oct 17, 2023, Dec 6, 2022 and 2 more (5 updates tracked since 2019).

About Noni Gazelle Jefferson NPPES

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

NONI GAZELLE JEFFERSON (NPI 1871140319) is an individual adult health provider in Matthews, North Carolina, licensed in North Carolina (5012215) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1871140319
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNONI GAZELLE JEFFERSON
Location Address2030 WINDSOR RUN LNMatthews, NC 28105-0054
Mailing Address5730 Executive Dr Ste 230Catonsville, MD 21228-1762 · (704) 443-6250 · Fax (704) 443-6279
Phone(704) 443-6250
Sole ProprietorNo
Enumeration DateAugust 20, 2019
Last NPPES UpdateMarch 19, 20265 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1871140319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5012215
Also ListedRegistered NurseTaxonomy 163W00000X · License 248305 (NC)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5012215 (NC)
2030 WINDSOR RUN LN, Matthews, NC 28105
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Secondary Practice Location 1

Location 1301 E Wendover Ave Ste 315Greensboro, NC 27401-1210 · Phone (336) 832-4444 · Fax (336) 832-4445

Other Identifiers 1

Medicaid0000000NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noni Gazelle Jefferson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 16

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

DR. IDA M LIM DPM
Podiatrist (Primary Podiatric Medicine)
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Mecklenburg County (704) 443-6250
LUANNE BRIGMAN IMHOLT MSW
Social Worker (Clinical)
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Mecklenburg County (704) 443-6250
LORI CONWAY MOT, OTR/L
Occupational Therapist
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Mecklenburg County (980) 375-6558
CATHERINE J. HALL LCSW
Social Worker (Clinical)
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Mecklenburg County (704) 443-6250
CLAY CORPENING IJAMS AGPCNP
Nurse Practitioner (Adult Health)
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Mecklenburg County (704) 443-6250
KATHRYN LYNN SEWARD M.D.
Internal Medicine
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Mecklenburg County (704) 443-6250
DR. SAREPTA ISAAC DPM
Podiatrist
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Mecklenburg County (704) 443-6250
SYDNEY ANNE HAMMER
Speech-Language Pathologist
2030 WINDSOR RUN LN
MATTHEWS, NC 28105
Mecklenburg County (704) 443-6300

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 Noni Jefferson's NPI number?

The NPI number for Noni Jefferson is 1871140319. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Noni Jefferson located?

Noni Jefferson practices at 2030 Windsor Run Ln, Matthews, NC 28105. The listed phone number is (704) 443-6250.

What is Noni Jefferson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Noni Jefferson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Noni Jefferson was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.