Organization Active NPI

Harvette C Jenkins

  • Internal Medicine Physician
  • High Point, NC
National Provider Identifier
1427250299
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HARVETTE C JENKINS
Practice address
4510 Premier Dr
Ste. 101 a
High Point, NC 27265-8349
Phone
(336) 274-5000
Fax
(336) 274-5064
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Dr. Harvette Carmelle Jenkins, M.D.
Title
Owner
Phone
(336) 274-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4510 Premier Dr
Ste. 101 a
High Point, NC 27265-8349

Mailing address

4510 Premier Dr
Ste. 101 a
High Point, NC 27265-8349
Phone (336) 274-5000

Other identifiers 2

IdentifierTypeStateIssuer
129NWOtherNCBCBS
89129NWMedicaidNC

National Provider Directory

National Provider Directory

Locations

500 Banner Ave
Greensboro, NC 27401
Phone (336) 274-5000

4510 Premier Dr
Ste 101A
High Point, NC 27265
Phone (336) 869-5000

4510 Premier Dr
Ste 101
High Point, NC 27265
Phone (336) 274-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1427250299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PREMIER DR",
            "address_2": "STE. 101 A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658349",
            "telephone_number": "336-274-5000",
            "fax_number": "336-274-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PREMIER DR",
            "address_2": "STE. 101 A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658349",
            "telephone_number": "336-274-5000",
            "fax_number": "336-274-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVETTE C JENKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "HARVETTE",
        "authorized_official_middle_name": "CARMELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-274-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "129NW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129NW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.