Individual provider Active NPI

Gina Gilley Jenkins, FNP-C

  • Family Nurse Practitioner
  • Sparta, NC
National Provider Identifier
1013762020
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019934 Issued in NC
Practice address
450 N Main St
Sparta, NC 28675-8608
Phone
(336) 372-5641
Fax
(336) 372-1888
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5019934 NC Primary

Addresses

Primary practice location

450 N Main St
Sparta, NC 28675-8608

Mailing address

PO Box 208
Jefferson, NC 28640-0208
Phone (336) 246-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000667 NC Practitioner - Nurse Practitioner 5092256206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Appalachian District Health DeptGroup PAC ID 1759281835, 9 clinicians

Practice addresses (Care Compare)

126 Poplar Grove Connector
Boone, NC 28607-5915
Phone (828) 264-4995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian District Health Dept CurrentSince Jun 24, 2024 Accepting new patients
Appalachian District Health Dept CurrentSince Jun 24, 2024 Accepting new patients
Appalachian District Health Dept Current Accepting new patients
Appalachian District Health Department Past Accepting new patients

Locations

126 Poplar Grove Connector
Boone, NC 28607
Phone (828) 264-4995

157 Health Services Rd
Sparta, NC 28675
Phone (336) 372-5641

450 N Main St
Sparta, NC 28675
Phone (336) 372-5641

Interoperability endpoints

  • Direct secure messaging: gina.jenkins.1@19844.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1013762020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400208",
            "telephone_number": "336-246-9449",
            "fax_number": "336-982-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758608",
            "telephone_number": "336-372-5641",
            "fax_number": "336-372-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "GINA",
        "middle_name": "GILLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NC

Sources for this page

Verify at the official NPI Registry.