Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Self-Determination LLC

Case Management Agency in Kings Mtn, NC · enumerated 2009 · authorized official Floydce Jefferies, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639408248

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Registry record

Entity type Organization (Type 2)

Legal business name Self-Determination LLC

Practice address 103 Ebenezer Rd, Kings Mtn, NC, 28086

Phone (704) 750-4752

Fax (704) 750-4753

Enumeration date Dec 9, 2009

Last updated in NPPES Aug 10, 2018

Taxonomy & classification

251B00000X Case Management Agency Agencies Primary

251S00000X Community/Behavioral Health Agency Agencies Secondary

261QD1600X Developmental Disabilities Clinic/Center Ambulatory Health Care Facilities Secondary

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License 023-197 (NC) Secondary

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 012-129 (NC) Secondary

Authorized official

Name Floydce Jefferies

Title President

Phone (828) 433-0465

Other identifiers

Identifier	Type	State	Issuer
6604454	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Self-Determination LLC located?

The practice location on file with NPPES is in Kings Mtn, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-08-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-08-10.