Johnnie Lee Jenkins III, MA, NCC, RPT, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3039 Issued in GA

Practice address

2531 Briarcliff Rd NE Ste 102
Atlanta, GA 30329-3017

Phone

(770) 309-5468

Fax

(678) 907-5468

NPI assigned

Jul 28, 2006

Sex

Male

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Grady Memorial Hospital Corporation

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment NPD
• The Jenkins Center for Evaluation/Counseling/Advocacy P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Point, GA
  • NPI 1801283445
  NPD Authorized official
• Grady Memorial Hospital Corporation

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104830819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490657",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303490657",
            "telephone_number": "770-309-5468",
            "fax_number": "678-907-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 BRIARCLIFF RD NE STE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293017",
            "telephone_number": "770-309-5468",
            "fax_number": "678-907-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JOHNNIE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MA, NCC, RPT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "3039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Jenkins
• Elan Jenkins, M.D.
• Emily Murphy Jenkins, BCBA
• Jahleen Jenkins, NP
• Janeen Jenkins, LPC
• Joseph David Jenkins, APRN
• Justin Donte Jenkins, PA-C
• Kayla Jenkins
• Kendra Nicole Jenkins, PHARM.D.
• Lauren Jenkins

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.