NPIMap

Individual provider Active NPI

Rebecca A Jenkins, DO

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1164059085
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5105 Issued in TN
Practice address
1021 W Oakland Ave Ste 301a
Johnson City, TN 37604-2192
Phone
(423) 952-8008
Fax
(423) 952-8009
NPI assigned
Mar 23, 2020
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5105 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X 5105 TN

Addresses

Primary practice location

1021 W Oakland Ave Ste 301a
Johnson City, TN 37604-2192

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

444 Clinchfield St Ste 2500
Kingsport, TN 37660-3858
Phone (423) 230-2500

Other practice location 2

102 E Ravine Rd
Kingsport, TN 37660-3814
Phone (423) 245-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712000185 TN Practitioner - Family Practice 3779907571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians
Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

1021 W Oakland Ave
Suite 301
Johnson City, TN 37604-2192
Phone (423) 952-8000

444 Clinchfield Dr
Suite 2500
Kingsport, TN 37600
Phone (423) 230-2500

4862 Dickenson Hwy
PO Box 1810
Clintwood, VA 24228-1810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5105TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Feb 1, 2026 Accepting new patients
State of Franklin Healthcare Associates PLLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Medical Education Assistance Corporation Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Medical Education Assistance Corporation Family Medicine PastSince Mar 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 301
Johnson City, TN 37604
Phone (423) 915-5234

1021 W Oakland Ave
Ste 301A
Johnson City, TN 37604
Phone (423) 952-8008

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590

303 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 282-5611

303 Med Tech Pkwy
Ste 150
Johnson City, TN 37604
Phone (423) 282-8070

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

102 E Ravine Rd
Kingsport, TN 37660
Phone (423) 245-9600

444 Clinchfield St
Ste 2500
Kingsport, TN 37660
Phone (423) 230-2500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1164059085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 301A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-8008",
            "fax_number": "423-952-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Clinchfield St Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603858",
            "country_code": "US",
            "telephone_number": "423-230-2500",
            "fax_number": "423-239-7502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 E Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603814",
            "country_code": "US",
            "telephone_number": "423-245-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "5105",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "5105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.