Active NPI
David Milton Jenkins, MD
- Surgery Physician
- Pascagoula, MS
National Provider Identifier
1174583496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11738
- Practice address
- 2525 Telephone Rd
Pascagoula, MS 39567-3202 - Phone
- (228) 762-4483
- Fax
- (228) 769-0406
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11738 | MS | Primary |
Addresses
Primary practice location
2525 Telephone Rd
Pascagoula, MS 39567-3202
Mailing address
2525 Telephone Rd
Pascagoula, MS 39567-3202
Phone (228) 762-4483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1174583496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 TELEPHONE RD",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395673202",
"telephone_number": "228-762-4483",
"fax_number": "228-769-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 TELEPHONE RD",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395673202",
"telephone_number": "228-762-4483",
"fax_number": "228-769-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "DAVID",
"middle_name": "MILTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "11738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pascagoula, MS
- J.a. Willis, DMD and Russell Parker, DMD Family Dentistry
- Jackson County Anesthesia
- Jackson County Pediatric Extended Care LLC
- James Michael Jackson, NP
- Altaf A Jamal, M. D.
- Cynthia A Jensen, ACNP
- John W Degroote PC
- John W. Benus Foot Clinic
- Charisse Lashaune Johnson, FNP-C
- Juanita Suzanne Johnson, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.