Larry P Jenkins MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17874 Issued in NC

Legal business name

LARRY P JENKINS MD PA

Practice address

923 N 2ND Street
Suite 103
Albemarle, NC 28001-3367

Phone

(704) 983-1102

Fax

(704) 983-2503

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larry Parker Jenkins, MD

Title

President Physician

Phone

(704) 983-1102

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Stanly County Eye Center Other name

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1154488682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 N 2ND STREET",
            "address_2": "SUITE 103",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013367",
            "telephone_number": "704-983-1102",
            "fax_number": "704-983-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 N 2ND STREET",
            "address_2": "SUITE 103",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013367",
            "telephone_number": "704-983-1102",
            "fax_number": "704-983-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY P JENKINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "704-983-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "17874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0138190001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "45887",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "45887",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1356345169",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945887",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanly County Eye Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phyllis T. Kupsick, FNP-C
• Kristen Lanae Laaman, MD
• Jodie Hallman Lafollette, LPC
• Stacey Lambert
• Lisa Shaw Lambeth, OTAL
• Jessica Nadine Larue, LMFTA
• Abby Lawrence
• Linda Williamson Lawrence, M.D.
• Joe Nathan Lawson
• Cathy Sue Layne, MD

• Ophthalmology Physician in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.