Individual provider Active NPI

Justin Mikel Jenkins, DO

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1457791733
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2928 Issued in TN
Practice address
7503 S Northshore Dr
Knoxville, TN 37919-8002
Phone
(865) 531-1300
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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 DO2928 TN Primary

Addresses

Primary practice location

7503 S Northshore Dr
Knoxville, TN 37919-8002

Mailing address

7503 S Northshore Dr
Knoxville, TN 37919-8002
Phone (865) 531-1300

Other practice location 1

1924 Alcoa Hwy
U-67
Knoxville, TN 37920-1511
Phone (865) 305-9350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727002705 TN Practitioner - Family Practice 7315181948 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians
Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

Practice addresses (Care Compare)

1940 Alcoa Hwy
Suite E40
Knoxville, TN 37920-1515
Phone (865) 305-5510

7503 S Northshore Dr
Knoxville, TN 37919-8002
Phone (865) 531-1300

Hospital & facility affiliations

  • University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2928TNMDFamily Medicine Physician
2982TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
University Health System, Inc Current Accepting new patients
Uhs Primary Care LLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Uhs Primary Care LLC Current Accepting new patients
University of Tennessee CurrentSince Jun 1, 2016 Accepting new patients
University Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Uhs Primary Care LLC CurrentSince May 1, 2025 Accepting new patients
Ut Urgent Care Centers LLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
University of Tennessee Current Accepting new patients
University of Tennessee CurrentSince Jun 1, 2016 Accepting new patients
Uhs Primary Care LLC Family Medicine Past Accepting new patients

Locations

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1940 Alcoa Hwy
Ste E40
Knoxville, TN 37920
Phone (865) 305-5510

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

9625 Kroger Park Dr
Ste 500
Knoxville, TN 37922
Phone (865) 531-8100

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

7503 S Northshore Dr
Knoxville, TN 37919
Phone (865) 531-1300

5779 Creekwood Park Blvd
Ste 220
Lenoir City, TN 37772
Phone (865) 988-6330

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Organizations & group practices 11

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.

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1457791733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198002",
            "telephone_number": "865-531-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198002",
            "telephone_number": "865-531-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Alcoa Hwy",
            "address_2": "U-67",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201511",
            "country_code": "US",
            "telephone_number": "865-305-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JUSTIN",
        "middle_name": "MIKEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO2928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.