KEVEN WAYNE JEFFERS (PA-C) – Physician Assistant, NPI 1609357953
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for KEVEN WAYNE JEFFERS (PA-C)
402 Cumberland Ave
Williamsburg, KY 407691238
Phone: (423) 784-5771
Type: Location
5663 Highway 90
Clairfield, TN 377153632
Phone: (423) 784-5771
Type: Location
107, South Main Street, Jellico, Campbell County, Tennessee, 37762, United States
JELLICO, TN 377622154
Phone: (423) 784-5771
Type: Mailing
550, Sunset Trail, Jellico, Campbell County, Tennessee, 37762, United States
JELLICO, TN 377622343
Phone: (423) 784-5771
Fax: (423) 455-0380
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: 2021-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190325000278 | I | Physician Assistant | TN | TBD |
| I20210921002813 | I | Physician Assistant | KY | TBD |
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.
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 40769)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TN | |
| Physician Assistant | TN | |
| R H E U M A T O L O G Y | KY | |
| Physician Assistant | KY | |
| Physician Assistant | TN | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| - | TN | |
| Clinical Social Worker | NY | |
| Physician Assistant | TN |
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