Individual provider Active NPI

Wendy Elizabeth Jenkins

  • Nurse Practitioner
  • Sandy Springs, GA
National Provider Identifier
1326910142
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN290351 Issued in GA
Practice address
50 Glenlake Pkwy Ste 420
Sandy Springs, GA 30328-3489
Phone
(404) 595-2210
NPI assigned
Sep 22, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN290351 GA Primary

Addresses

Primary practice location

50 Glenlake Pkwy Ste 420
Sandy Springs, GA 30328-3489

Mailing address

115 Chablis CT
Fayetteville, GA 30214-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318001797 GA Practitioner - Nurse Practitioner 9335623370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

2002 Summit Blvd NE
Suite 300
Atlanta, GA 30319-1410
Phone (973) 241-1356

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN290351GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC CurrentSince Jan 21, 2026 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Jan 21, 2026 Accepting new patients
Ennoble HC DMV III LLC CurrentSince Jan 21, 2026 Accepting new patients

Locations

2002 Summit Blvd
Ste 300
Brookhaven, GA 30319
Phone (973) 241-1356

50 Glenlake Pkwy
Ste 420
Sandy Springs, GA 30328
Phone (404) 595-2210

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1326910142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHABLIS CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLENLAKE PKWY STE 420",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283489",
            "telephone_number": "404-595-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "WENDY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN290351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.