Bonnie P Jenkins MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BONNIE P JENKINS MD PC

Practice address

201 Dogwood Drive
Waynesboro, GA 30830

Phone

(706) 437-0046

Fax

(706) 437-0546

NPI assigned

Aug 1, 2007

Last updated

Oct 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christie G Radford

Title

Office Manager

Phone

(706) 437-0046

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonnie P Jenkins, M.D.

  • Family Medicine Physician
  • Waynesboro, GA
  • NPI 1861432916
  Medicare reassignment NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1184814519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOGWOOD DRIVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "30830",
            "telephone_number": "706-437-0046",
            "fax_number": "706-437-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOGWOOD DRIVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "30830",
            "telephone_number": "706-437-0046",
            "fax_number": "706-437-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE P JENKINS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-437-0046"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Barnett
• Lauren Elizabeth Bazemore, MSP, CCC-SLP
• Darlene Skinner Beazley, RN
• Greta Latoria Bell, LPN
• Summer Bentley
• Kimberly M Boothe, RBT
• Sarah Boothe
• Megan Bostic
• Ashley J Boynton, NP-C
• Savanna Bradham

• Family Medicine Physician in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.