Organization Active NPI

Jenks Family Medicine, PLLC

  • Health Service Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1457062580
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JENKS FAMILY MEDICINE, PLLC
Practice address
3908 Tennesee Ave
Suite 110
Chattanooga, TN 37409-1506
Phone
(423) 373-5357
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Anne Renee JenksNPI 1295149300
Title
Owner
Phone
(423) 373-5457

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3908 Tennesee Ave
Suite 110
Chattanooga, TN 37409-1506

Mailing address

3908 Tennesee Ave
Ste 110
Chattanooga, TN 37409-1506
Phone (423) 373-5357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230227001914 TN Part B Supplier - Clinic/Group Practice 1052784808 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

3908 Tennessee Ave
Ste 110
Chattanooga, TN 37409
Phone (423) 373-5357

Practitioners & affiliated clinicians

Practitioners 4

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": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1457062580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 TENNESEE AVE",
            "address_2": "STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091506",
            "telephone_number": "423-373-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 TENNESEE AVE",
            "address_2": "SUITE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091506",
            "telephone_number": "423-373-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKS FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "JENKS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-373-5457"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.