DR. MALCOLM T JEFFERSON (MD, MS) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1417448077

DR. MALCOLM T JEFFERSON (MD, MS) is a healthcare provider. based in Albany, Georgia. specializing in THORACIC SURGERY. They hold the professional credentials MD, MS. They hold a License No. 105686 (GA). The NPI Number for DR. MALCOLM T JEFFERSON (MD, MS) is 1417448077

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MALCOLM T JEFFERSON (MD, MS)
NPI
1417448077
Phone
Not provided
Address
417 W 3RD AVE
Enumeration Date
18 May 2018
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293125133
Graduation Year
2018 (8 years ago)
PAC ID
6709131501
Group Practice PAC ID
8426112350
Professional Enrollment ID
I20250908001464
Address ID
GA317011959AL425XXAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

155 THORACIC SURGERY in GA

Provider Addresses for DR. MALCOLM T JEFFERSON (MD, MS)

  • 417 W 3RD AVE

    ALBANY, GA 317011943

    Phone:

    Type: Mailing

  • 6123 FARRINGTON RD APT M1

    CHAPEL HILL, NC 275179474

    Phone:

    Type: Mailing

  • UNC Medical Center, 101, Manning Drive, Downtown, Chapel Hill, Orange County, North Carolina, 27514, United States

    CHAPEL HILL, NC 275144220

    Phone: (919) 966-4653

    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: 2025-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250908001464IThoracic SurgeryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31701)

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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: 8426112350View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
-GA
Internal MedicineGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Critical Care (Intensivists), Infectious DiseaseIN
Internal MedicineGA
Internal MedicineGA
Pulmonary Disease, Internal MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify DR. MALCOLM T JEFFERSON (MD, MS) for billing?
Administrative and clinical systems typically use NPI 1417448077 for DR. MALCOLM T JEFFERSON (MD, MS).
Should I treat DR. MALCOLM T JEFFERSON (MD, MS) as an active provider?
Patients and plans typically see DR. MALCOLM T JEFFERSON (MD, MS) as active in the national extract.
What services align with DR. MALCOLM T JEFFERSON (MD, MS)'s listing?
DR. MALCOLM T JEFFERSON (MD, MS)'s public classification highlights Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MALCOLM T JEFFERSON (MD, MS) in Albany, Georgia?
For routing, start with Albany, Georgia for DR. MALCOLM T JEFFERSON (MD, MS), then verify phone and hours locally.
Who maintains DR. MALCOLM T JEFFERSON (MD, MS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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