Active NPI
Stephen Jenkins
- Gerontology Nurse Practitioner
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN298474
- Practice address
- 639 Hemlock St Ste 100
Macon, GA 31201-6889 - Phone
- (475) 755-1560
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN298474 | GA | Primary |
Addresses
Primary practice location
639 Hemlock St Ste 100
Macon, GA 31201-6889
Mailing address
639 Hemlock St Ste 100
Macon, GA 31201-6889
Phone (478) 755-1560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1062 Forsyth St
Suite 1B
Macon, GA 31201-8638
Phone (478) 621-7501
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
- Coliseum Medical Centers, LLC, Dba
- Piedmont Macon North Hospital
- Navicent Health Baldwin
- Emory Houston Hospital Warner Robins
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN298474 | GA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Heart Center, PC | Current | Accepting new patients | |
| Central Georgia Heart Center, PC | Current | Accepting new patients | |
| Georgia Arrhythmia Consultants and Research Institute | Past | Accepting new patients | |
| The Medical Center of Central Georgia Inc | Past | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Locations
910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652
1000 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 241-0241
112 Corporate Sq
Dublin, GA 31021
200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865
134 Martin Luther King Jr Dr
Ste 2B
Forsyth, GA 31029
222 Perry Hwy
Bldg B
Hawkinsville, GA 31036
Phone (478) 783-3025
222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950
2960 Riverside Dr
Macon, GA 31204
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (478) 743-7068
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670
750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
502 Sumter St
Montezuma, GA 31063
Phone (478) 472-3100
898 College St
Monticello, GA 31064
Phone (706) 468-0988
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
211 E Thompson St
Thomaston, GA 30286
Phone (404) 647-8909
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
304 Margie Dr
Warner Robins, GA 31088
Phone (478) 333-2965
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGBAAA/Endpoint/JGBAAA
- https://fhir4.healow.com/fhir/r4/GGEADD
- stephen.jenkins@cghc.eclinicaldirectplus.com
- sjenkins433623@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Macon, GA
- NPI 1780779363
-
- Phlebology Physician
- Macon, GA
- NPI 1710382320
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Clinical Cardiac Electrophysiology Physician
- Macon, GA
- NPI 1548759178
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- General Acute Care Hospital
- Macon, GA
- NPI 1811940976
-
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1154882322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 HEMLOCK ST STE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312016889",
"telephone_number": "478-755-1560",
"fax_number": "478-755-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 HEMLOCK ST STE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312016889",
"telephone_number": "475-755-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN298474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.