Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mount Jefferson Family Medicine, PA

Organization Family Medicine Physician · NPI 1114959731

Mount Jefferson Family Medicine, PA provides Family Medicine Physician services in Jefferson, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Hospital Ave Ste 3
Jefferson, NC 28640-9244 Not confirmed with CMS for 10 years — call before visiting
Phone: (336) 846-7433
Fax: (336) 846-7878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1114959731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rita Richardson — Corporate Secretary · (336) 846-7433
NPI enumeratedJuly 6, 2006
Last updated in NPPESDecember 7, 2015
Mailing addressPo Box 369, Jefferson, NC 28640-0369

Other providers in Jefferson