Organization Active NPI

Jennings Medical Group LLC

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1497442123
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JENNINGS MEDICAL GROUP LLC
Practice address
65 Highlander TRL SW
Rome, GA 30165-3683
Phone
(870) 949-6697
NPI assigned
Apr 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Dr. Sasha Fanchon Jennings, MD
Title
Physician
Phone
(870) 949-6697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

65 Highlander TRL SW
Rome, GA 30165-3683

Mailing address

65 Highlander TRL SW
Rome, GA 30165-3683

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1497442123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HIGHLANDER TRL SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301653683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HIGHLANDER TRL SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301653683",
            "telephone_number": "870-949-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "FANCHON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-949-6697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.