Organization Active NPI

Christopher L. Jenkins, M.D., L.L.C.

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1245444009
Registry record updated Jun 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21736 Issued in AL
Legal business name
CHRISTOPHER L. JENKINS, M.D., L.L.C.
Practice address
576 Azalea Rd
Suite 105
Mobile, AL 36609-1516
Phone
(251) 665-5360
Fax
(251) 665-5361
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2013

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

Authorized official

Name
Dr. Christopher Lacy Jenkins, MDNPI 1003806274
Title
Owner
Phone
(251) 650-5360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 21736 AL Primary

Addresses

Primary practice location

576 Azalea Rd
Suite 105
Mobile, AL 36609-1516

Mailing address

576 Azalea Rd
Suite 105
Mobile, AL 36609-1516
Phone (251) 665-5360

Other identifiers 1

IdentifierTypeStateIssuer
051550204MedicaidAL

National Provider Directory

National Provider Directory

Locations

576 Azalea Rd
Ste 105
Mobile, AL 36609
Phone (251) 432-3247

176 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 431-9836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371254400000",
    "number": "1245444009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 AZALEA RD",
            "address_2": "SUITE 105",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091516",
            "telephone_number": "251-665-5360",
            "fax_number": "251-665-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 AZALEA RD",
            "address_2": "SUITE 105",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091516",
            "telephone_number": "251-665-5360",
            "fax_number": "251-665-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER L. JENKINS, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-06-15",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-650-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550204",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.