Active NPI
Chris K Jensen, DO
- Emergency Medicine Physician
- Fort Gordon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 827
- Practice address
- 300 E Hospital Road
Fort Gordon, GA 30905 - Phone
- (706) 787-5811
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 827 | NE | Primary |
Addresses
Primary practice location
300 E Hospital Road
Fort Gordon, GA 30905
Mailing address
300 E Hospital Road
Fort Gordon, GA 30905
Phone (706) 787-5811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140718001857 | SC | Practitioner - Emergency Medicine | 8123244670 | Reassigns benefits to 4 organizations |
| I20180904003440 | GA | Practitioner - Emergency Medicine | 8123244670 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 827 | NE | MD | Clinical Psychologist |
| 36492 | SC | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies South Carolina LLC | Emergency Medicine | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| App of South Carolina Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of South Carolina LLC | Emergency Medicine | Current | Accepting new patients |
| Musc Community Physicians | Emergency Medicine | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
Emergency Medicine, SC
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1821779695
Emergency Medicine, SC
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
Emergency Medicine, SC
-
- Emergency Medicine Physician
- Aiken, SC
- NPI 1730636168
Emergency Medicine, SC
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1184852071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E HOSPITAL ROAD",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E HOSPITAL ROAD",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "CHRIS",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.