Dr. Jeffrey Michael Diffenderfer, MD, MPH
Preventive Medicine, Occupational Medicine in Fort Benning, GA. Individual provider (NPI-1).
NPI number1114249463
StatusActive
Last updated in NPPESDec 12, 2025
Details
- NPI
- 1114249463
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Michael Diffenderfer
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2010
- Certification date
- Dec 12, 2025
- Last updated
- Dec 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | 01070055A | IN | Yes |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | 01070055A | IN |
Practice location
6600 Van Aalst BlvdFort Benning, GA 31905-2102
Phone 762-408-1304
Mailing address
6600 Van Aalst BlvdFort Benning, GA 31905-2102
Phone 762-408-1304
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Other Occupational Medicine Physician providers in Fort Benning, GA
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