Individual provider Active NPI

Christopher Matthew Jenkins, MD

  • Interventional Cardiology Physician
  • Macon, GA
National Provider Identifier
1497284699
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
99835 Issued in GA
Practice address
3330 Northside Dr Ste 200
Macon, GA 31210-2574
Phone
(478) 309-1808
NPI assigned
Jun 9, 2017
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 99835 GA Primary

Addresses

Primary practice location

3330 Northside Dr Ste 200
Macon, GA 31210-2574

Mailing address

3330 Northside Dr Ste 200
Macon, GA 31210-2574
Phone (478) 309-1808

Other practice location 1

206 Hospital Dr Ste A
Dublin, GA 31021-2560
Phone (478) 272-3525

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240728000015 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7810326543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Cardiology Associates PCGroup PAC ID 7810985645, 8 clinicians

Practice addresses (Care Compare)

3330 Northside Dr
Suite 200
Macon, GA 31210-2574
Phone (478) 272-3525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Cardiology Associates PC CurrentSince Jul 10, 2024 Accepting new patients
Central Georgia Vascular Solutions Interventional Cardiology CurrentSince Sep 1, 2024 Accepting new patients
Dublin-Macon Cardiology, PC Interventional Cardiology Current Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

206 Hospital Dr
Ste A
Dublin, GA 31021
Phone (478) 272-3525

2064 Vineville Ave
Macon, GA 31204
Phone (478) 272-3525

3330 Northside Dr
Ste 200
Macon, GA 31210
Phone (478) 309-1809

688 Walnut St
Ste 201
Macon, GA 31201
Phone (478) 476-8692

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1497284699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NORTHSIDE DR STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102574",
            "telephone_number": "478-309-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NORTHSIDE DR STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102574",
            "telephone_number": "478-309-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Hospital Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212560",
            "country_code": "US",
            "telephone_number": "478-272-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "99835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.