Active NPI
Christopher Lacy Jenkins, M.D.
- Psychiatry Physician
- Mobile, AL
National Provider Identifier
1003806274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 00021736
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051550204 | Medicaid | AL | |
| 4479981 | Other | AL | CIGNA |
| 51550204 | Other | AL | BCBS AL |
| AETNA | Other | AL | 7957202 |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00021736 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
| Southwest Alabama Behavioral Health Care Systems | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Psychiatry Physician
- Mobile, AL
- NPI 1245444009
-
- Community/Behavioral Health Agency
- Monroeville, AL
- NPI 1215104682
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroeville, AL
- NPI 1881628162
-
- Community/Behavioral Health Agency
- Grove Hill, AL
- NPI 1104014554
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
- Richelle Ashley Jefferson, MD
- Jana Bell Jelich
- Mikayla Jeneske
- Jenifer Dewald Leber LLC (Corsentino Chiropractic)
- Carley Allison Jenkins, PT, DPT
- Ciara Corban Jenkins, MD
- Connecyt Jenkins, CRNP/AGPCNP-C
- Jennerational Rehab LLC (Fleming Physical Therapy)
- Jennerational Rehab LLC (The Pelvic Floor Institute)
- Jessica Jensen, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.