Individual provider Active NPI

James G Jenkins

  • Dentist
  • Savannah, GA
National Provider Identifier
1477664118
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
010143 Issued in GA
Practice address
7400 Abercorn St Ste 813
Savannah, GA 31406-2455
Phone
(912) 542-0432
NPI assigned
Aug 31, 2006
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
010143GAMDDentist
4414SCMDDentist

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.

Verify at the official NPI Registry.