LARRY D. JEFFERSON, SR. – NPI #1881580819
Emergency Medical Technician, Intermediate

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

LARRY JEFFERSON, SR. is an intermediate emergency medical technician located in COLUMBUS, MS. NPPES has assigned the NPI number 1881580819 to LARRY JEFFERSON, SR. on June 16, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 146M00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medical Technician, Intermediate.

The NPI profile was last updated on Jun 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY JEFFERSON, SR. below.

NPI Profile for
LARRY D. JEFFERSON, SR.

NPI Number
1881580819
Enumeration Date

(about a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY D. JEFFERSON, SR.
Primary location
342 SYLVAN RD
COLUMBUS, MS 39702-3014
Phone: (662) 364-0578 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jun 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
146M00000X
- Emergency Medical Technician, Intermediate (Primary)
MS 801522422

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.