Eleonora Jenkins DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELEONORA JENKINS DMD, LLC

Practice address

2636 Tobacco Rd
Hephzibah, GA 30815-9014

Phone

(706) 771-7001

NPI assigned

Apr 23, 2025

Organization subpart

No

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

Authorized official

Name

Hillary Harris

Title

Revenue Cycle Manager

Phone

(912) 270-0920

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1265229181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BURTON HILLS BLVD STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153004",
            "telephone_number": "912-270-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 TOBACCO RD",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308159014",
            "telephone_number": "706-771-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEONORA JENKINS DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "912-270-0920"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.