MR. JAMES FALLON JEFFREY (PA-C) – Physician Assistant, NPI 1013074004

MR. JAMES FALLON JEFFREY (PA-C) is a healthcare provider. based in St augustine, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-9101291 (FL). The NPI Number for MR. JAMES FALLON JEFFREY (PA-C) is 1013074004

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES FALLON JEFFREY (PA-C)
NPI
1013074004
Phone
(904) 824-1776
Address
201 HEALTH PARK BLVD
Enumeration Date
2 January 2007
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
5126544050
Graduation Year
2000 (26 years ago)
PAC ID
4587836978
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20240805003493
Address ID
TX787584414AU2608XDRXX300

Contacts

Secure Messaging
jjeffrey1350911@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness85
Years active:19State licenses:4Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MR. JAMES FALLON JEFFREY (PA-C)

  • 201, Health Park Boulevard, St. Augustine South, Saint Johns County, Florida, 32086, United States

    SUITE 105

    ST AUGUSTINE, FL 320865796

    Phone: (904) 824-1776

    Fax: (904) 825-1270

    Type: Location

  • 1507, San Rafael Way, Casa Del Mar Apartments, St. Augustine South, Saint Johns County, Florida, 32080, United States

    ST AUGUSTINE, FL 320805310

    Phone: (904) 217-2497

    Type: Mailing

  • 29100 PORTOLA PKWY STE B

    LAKE FOREST, CA 926308713

    Phone: (949) 535-1199

    Fax: (949) 535-1109

    Type: Mailing

  • 25461 RANCHO NIGUEL RD

    LAGUNA NIGUEL, CA 926777304

    Phone: (949) 535-1199

    Fax: (949) 535-1109

    Type: Location

  • 25461 Rancho Niguel Rd

    Laguna Niguel, CA 926777304

    Phone: (949) 535-1199

    Fax: (949) 535-1109

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 910 E WHITESTONE BLVD

    CEDAR PARK, TX 786139093

    Phone: (512) 260-6100

    Fax: (512) 260-6129

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180223002189IPhysician AssistantCATBD
I20240805003493IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10096$0
99214Established patient office or other outpatient visit, 30-39 minutes5454$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
99204New patient office or other outpatient visit, 45-59 minutes3131$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2626$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Where can patients find MR. JAMES FALLON JEFFREY (PA-C)'s NPI?
You can confirm MR. JAMES FALLON JEFFREY (PA-C) with NPI 1013074004; it appears in the national provider directory.
Is MR. JAMES FALLON JEFFREY (PA-C)'s NPI currently valid?
The extract we use shows MR. JAMES FALLON JEFFREY (PA-C) as active.
What kind of provider is MR. JAMES FALLON JEFFREY (PA-C)?
The page reflects Physician Assistant for MR. JAMES FALLON JEFFREY (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for MR. JAMES FALLON JEFFREY (PA-C)?
We surface St Augustine, Florida for MR. JAMES FALLON JEFFREY (PA-C) based on available NPPES addresses.
Is MR. JAMES FALLON JEFFREY (PA-C) a real provider?
This page reflects official NPPES data for NPI 1013074004. Always confirm identity and privileges with the practice and licensing boards.

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