Joel Chandler Jenkins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1014 Issued in GA

Practice address

850 Prince Ave
Suite B
Athens, GA 30606-2764

Phone

(706) 353-2520

Fax

(706) 353-2584

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Georgia Vision Care LLCGroup PAC ID 7416055603, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northeast Georgia Vision Care LLC

  • Optometrist
  • Athens, GA
  • NPI 1336281971
  Medicare reassignment Care Compare group NPD Authorized official
• Northeast Georgia Vision Care LLC

  • Optometrist
  • Cornelia, GA
  • NPI 1487641858
  NPD

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1487634705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PRINCE AVE",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062764",
            "telephone_number": "706-353-2520",
            "fax_number": "706-353-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PRINCE AVE",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062764",
            "telephone_number": "706-353-2520",
            "fax_number": "706-353-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JOEL",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762696739A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Jean Louis
• Kathleen M Jeffery, MD
• Sadaf Jehangir
• Emerson Elizabeth Jenkins
• Francis Hugh Jenkins, MD
• Liana Jenkins, LPN
• Jennifer Boone, LCSW LLC
• Jessica Parker
• Anna Catherine Jessup
• Sussnna Jesweak, RN

• Optometrist in Athens, GA
• Providers in Athens, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.