Active NPI
Winston Jennings Jr., M.D.
- Psychiatry Physician
- Clinton, NC
National Provider Identifier
1043243686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 38720
- Practice address
- 306 Beaman St
Clinton, NC 28328-2908 - Phone
- (910) 567-7107
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 38720 | NC | Primary |
Addresses
Primary practice location
306 Beaman St
Clinton, NC 28328-2908
Mailing address
182 Faison W McGowan Rd
Kenansville, NC 28349-8930
Phone (910) 275-0369
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45914 | Other | NC | BCBS |
| 0350883240 | Other | NC | ME# |
| 327665 | Other | NC | TRICARE |
| 5900999 | Medicaid | NC | |
| E0093 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpointe Human Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Lumberton, NC
- NPI 1306058524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1043243686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 FAISON W MCGOWAN RD",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "283498930",
"telephone_number": "910-275-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 BEAMAN ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282908",
"telephone_number": "910-567-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "WINSTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "38720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "45914",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ME#",
"identifier": "0350883240",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "327665",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900999",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "E0093",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.