Tonyia Celisha Jenkins, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN298948 Issued in GA

Practice address

7540 Highway 64 W
Brasstown, NC 28902-8079

Phone

(828) 837-5335

Fax

(828) 604-7030

NPI assigned

Apr 29, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Baymark Health Services of North Carolina, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brasstown, NC
  • NPI 1841788510
  NPD (past)

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1104409127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 HIGHWAY 64 W",
            "city": "BRASSTOWN",
            "state": "NC",
            "postal_code": "289028079",
            "telephone_number": "828-837-5335",
            "fax_number": "828-604-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 HIGHWAY 64 W",
            "city": "BRASSTOWN",
            "state": "NC",
            "postal_code": "289028079",
            "telephone_number": "828-837-5335",
            "fax_number": "828-604-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TONYIA",
        "middle_name": "CELISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN298948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baymark Health Services of North Carolina, Inc.
• Susan Beall Blomeley, RD, LDN
• Family Therapeutic Services and Assessments Inc.
• Jessica Charles Gentry, CADC
• Devin Raekel Jordan
• Alisha M Sellers, CCMA
• Victoria Grace Polk
• Mary Margaret Rhodes
• Christina Asha Rodriguez

• Registered Nurse in Brasstown, NC
• Providers in Brasstown, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.