DR. KRISTIAN DANIELLE JEFFRESS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1649592585

DR. KRISTIAN DANIELLE JEFFRESS (DPM) is a healthcare provider. based in Statesboro, Georgia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD001140 (GA). The NPI Number for DR. KRISTIAN DANIELLE JEFFRESS (DPM) is 1649592585

Main info

Female
Sole Proprietor
19 Years Of Experience
Name
DR. KRISTIAN DANIELLE JEFFRESS (DPM)
NPI
1649592585
Phone
(912) 489-3668
Address
110 HILL POND LN
Enumeration Date
19 February 2010
Last Update Date
23 January 2017

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9124893668
Graduation Year
2007 (19 years ago)
PAC ID
0749467579
Professional Enrollment ID
I20110603000553
Address ID
GA304580872ST110XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

432 PODIATRY in GA

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Provider Addresses for DR. KRISTIAN DANIELLE JEFFRESS (DPM)

  • Hill Pond Lane, Olde Towne, Stadium Club, Statesboro, Bulloch County, Georgia, 30460, United States

    STATESBORO, GA 304580872

    Phone: (912) 489-3668

    Fax: (912) 489-4795

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $203.

Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($64).

Total Amount

$203

General + Research + Ownership

Payments

10

Total payment records

General Amount

$203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-06-03

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
I20110603000553IPodiatryGATBD

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
11720Removal of fingernails or toenails, 1-5 nails772271$0
G0127Trimming of dystrophic nails, any number767270$0
99213Established patient office or other outpatient visit, 20-29 minutes314192$0
93923Complete ultrasound study of arm and leg arteries189187$0
17110Destruction of skin growth, 1-14 growths14870$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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Reviews

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Frequently asked questions

What is DR. KRISTIAN DANIELLE JEFFRESS (DPM)'s NPI number?
DR. KRISTIAN DANIELLE JEFFRESS (DPM)'s NPI is 1649592585 — the number used across U.S. healthcare to identify this provider.
Is DR. KRISTIAN DANIELLE JEFFRESS (DPM) still an active registrant?
DR. KRISTIAN DANIELLE JEFFRESS (DPM) carries an active NPI according to the public dataset.
How would a patient describe DR. KRISTIAN DANIELLE JEFFRESS (DPM)'s focus?
For DR. KRISTIAN DANIELLE JEFFRESS (DPM), the primary taxonomy reads as Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. KRISTIAN DANIELLE JEFFRESS (DPM) associated with Statesboro?
Public fields place DR. KRISTIAN DANIELLE JEFFRESS (DPM) around Statesboro, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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