Jefferson Ray Iv, MA - Speech-Language Pathologist in Poplar Branch, NC

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Jefferson Ray Iv, MA is a Speech-language Pathologist based in Poplar Branch, North Carolina. Jefferson Ray Iv is licensed to practice in North Carolina (license number 8249) and his current practice location is 261 Poplar Branch Rd, Poplar Branch, North Carolina. He can be reached at his office (for appointments etc.) via phone at (252) 453-2700.

NPI number for Jefferson Ray Iv is 1649126723 and his current mailing address is 1347 Waterlily Rd, Coinjock, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649126723.

Contact Information

Jefferson Ray Iv, MA
261 Poplar Branch Rd,
Poplar Branch, NC 27965-9745
(252) 453-2700
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJefferson Ray Iv
GenderMale
SpecialitySpeech-language Pathologist
Location261 Poplar Branch Rd, Poplar Branch, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649126723
  • Provider Enumeration Date: 03/10/2026
  • Last Update Date: 03/10/2026

Medical Identifiers

Medical identifiers for Jefferson Ray Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649126723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 8249 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jefferson Ray Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jefferson Ray Iv, MA
1347 Waterlily Rd,
Coinjock, NC 27923-9740

Ph: (252) 619-4399		Jefferson Ray Iv, MA
261 Poplar Branch Rd,
Poplar Branch, NC 27965-9745

Ph: (252) 453-2700

Reviews and Comments


Speech-Language Pathologist in Poplar Branch, NC


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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