Active NPI
James G Jenkins
- Dentist
- Savannah, GA
National Provider Identifier
1477664118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 010143
- Practice address
- 7400 Abercorn St Ste 813
Savannah, GA 31406-2455 - Phone
- (912) 542-0432
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4414 | SC | |
| Dentist | 122300000X | 010143 | GA | Primary |
Addresses
Primary practice location
7400 Abercorn St Ste 813
Savannah, GA 31406-2455
Mailing address
42 Crossings Blvd
Bluffton, SC 29910-7840
Phone (843) 384-6328
Other practice location 1
2494 Jett Ferry Road
Suite 101
Dunwoody, GA 30338
Phone (770) 393-1524
Other practice location 2
25 Clark Summit Dr Ste 100
Bluffton, SC 29910-4999
Phone (843) 706-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010143 | GA | MD | Dentist |
| 4414 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1477664118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 CROSSINGS BLVD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299107840",
"telephone_number": "843-384-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 ABERCORN ST STE 813",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062455",
"telephone_number": "912-542-0432"
}
],
"practiceLocations": [
{
"address_1": "2494 Jett Ferry Road",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Dunwoody",
"state": "GA",
"postal_code": "30338",
"country_code": "US",
"telephone_number": "770-393-1524",
"fax_number": "770-393-1572",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Clark Summit Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "SC",
"postal_code": "299104999",
"country_code": "US",
"telephone_number": "843-706-3800",
"fax_number": "843-706-3802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "JAMES",
"middle_name": "G",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4414",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "010143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.