Jessica Joy Jenkins, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T-4104 Issued in MS

Practice address

300 S Washington Ave
Greenville, MS 38701-4719

Phone

(662) 725-1384

NPI assigned

Jul 4, 2020

Last updated

Jul 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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.

Enrollment records 1

Specialty

Family Practice

Education

University of Mississippi School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quad Intermed Company LLCGroup PAC ID 6709245954, 42 clinicians

Greenwood Leflore HospitalGroup PAC ID 8123096880, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
• Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• Direct secure messaging: jessica.jenkins.p1@direct.glh.nextgenshare.com

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.

• Greenwood Leflore Hospital

  dba Hospitalists

  • Hospitalist Physician
  • Greenwood, MS
  • NPI 1720048440

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Quad Intermed Company LLC

  • Clinic/Center
  • Laurel, MS
  • NPI 1952099913

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Quad Intermed Company LLC

  • Clinic/Center
  • Yazoo City, MS
  • NPI 1093403065
  NPD
• Quad Intermed Company LLC

  dba MEA Medical Clinics

  • Clinic/Center
  • Pearl, MS
  • NPI 1205619483
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation
• State of Mississippi - University of Mississippi Medical Center

  dba UMMC Greenwood Hospital

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1699714717
  Care Compare affiliation

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

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1083231229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JUSTIN CT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392062819",
            "telephone_number": "601-502-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WASHINGTON AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014719",
            "telephone_number": "662-725-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-04",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Barker MD Inc
• Cole Jeavons, PTA
• Shamekia Lavette Jenkins-McCain
• Chester W Jenkins, MD
• Elizabeth Jenkins
• Tashaka Jenkins
• Peyton Jernigan, NP
• Stephen Ross Jernigan, PT
• Terry Lynn Joel
• John M Portera DPM LTD

• Family Medicine Physician in Greenville, MS
• Providers in Greenville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.