Individual provider Active NPI

Stephen Jenkins

  • Gerontology Nurse Practitioner
  • Macon, GA
National Provider Identifier
1154882322
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN298474 Issued in GA
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

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216001995 GA Practitioner - Nurse Practitioner 3072928514 Reassigns benefits to 1 organization

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
Central Georgia Heart Center, PCGroup PAC ID 0446248736, 27 clinicians

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 Hospital, Macon, GA, CCN 110107
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN298474GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Heart Center, PC CurrentSince May 1, 2023 Accepting new patients
Central Georgia Heart Center, PC CurrentSince May 1, 2023 Accepting new patients
Georgia Arrhythmia Consultants and Research Institute PastSince Sep 5, 2021 Accepting new patients
The Medical Center of Central Georgia Inc PastSince Jan 1, 2021 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBAAA/Endpoint/JGBAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD
  • Direct secure messaging: stephen.jenkins@cghc.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.