Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Medical Group

Organization Family Medicine Physician · NPI 1215030713

Jefferson Medical Group is a Family Medicine Physician in Carrollton, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1502 N Jefferson St
Carrollton, MO 64633-1948
Phone: (660) 542-9998
Fax: (660) 542-9880
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1215030713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Ireland — Cfo · (660) 329-6005
NPI enumeratedSeptember 7, 2006
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021
Mailing address1502 N Jefferson St, Carrollton, MO 64633-1948

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