NPIMap

Individual provider Active NPI

Marion Kent Jenkins, MD

  • Family Medicine Physician
  • Honea Path, SC
National Provider Identifier
1316988975
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21062 Issued in SC
Practice address
21 S Shirley Ave
Honea Path, SC 29654-1503
Phone
(864) 369-0552
Fax
(864) 369-1826
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21062 SC Primary

Addresses

Primary practice location

21 S Shirley Ave
Honea Path, SC 29654-1503

Mailing address

21 S Shirley Ave
Honea Path, SC 29654-1503
Phone (864) 369-0552

Other identifiers 2

IdentifierTypeStateIssuer
210621MedicaidSC
S476721OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000702 SC Practitioner - Family Practice 4880738715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed Health 348 clinicians

Practice addresses (Care Compare)

21 S Shirley Ave
Honea Path, SC 29654-1503
Phone (864) 369-0552

Hospital & facility affiliations

  • Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
  • Anmed Health Hospital, Anderson, SC, CCN 420027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21062SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Family Medicine CurrentSince Jan 1, 2000 Accepting new patients
Anmed Health Family Medicine CurrentSince Jan 1, 2000 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Anmed Health Past Accepting new patients
Hartwell Emergency Services, LLC Past Accepting new patients

Locations

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

21 S Shirley Ave
Honea Path, SC 29654
Phone (864) 369-0552

Interoperability endpoints

  • Direct secure messaging: kjenkins8231@direct.anmedhealth.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1316988975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S SHIRLEY AVE",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296541503",
            "telephone_number": "864-369-0552",
            "fax_number": "864-369-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S SHIRLEY AVE",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296541503",
            "telephone_number": "864-369-0552",
            "fax_number": "864-369-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARION",
        "middle_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210621",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "S476721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honea Path, SC

Sources for this page

Verify at the official NPI Registry.