Individual provider Active NPI

Christopher Lacy Jenkins, M.D.

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1003806274
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00021736 Issued in AL
Practice address
1621 S University Blvd Ste B1
Mobile, AL 36609-2945
Phone
(251) 665-5360
NPI assigned
Oct 27, 2005
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00021736 AL Primary

Addresses

Primary practice location

1621 S University Blvd Ste B1
Mobile, AL 36609-2945

Mailing address

1621 S University Blvd Ste B1
Mobile, AL 36609-2945
Phone (251) 665-5360

Other identifiers 4

IdentifierTypeStateIssuer
051550204MedicaidAL
4479981OtherALCIGNA
51550204OtherALBCBS AL
AETNAOtherAL7957202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00021736ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Alabama Mental Health/Mental Retardation Inc. Past Accepting new patients
Southwest Alabama Behavioral Health Care Systems Past Accepting new patients
Christopher L. Jenkins, M.D., L.L.C. Psychiatry PastSince Sep 25, 2000 Accepting new patients
Southwest Alabama Behavioral Health Care Systems PastSince Sep 16, 1996 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/swamh/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1003806274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S UNIVERSITY BLVD STE B1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092945",
            "telephone_number": "251-665-5360",
            "fax_number": "833-612-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 S UNIVERSITY BLVD STE B1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092945",
            "telephone_number": "251-665-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "LACY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00021736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550204",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4479981",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51550204",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7957202",
            "identifier": "AETNA",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.