Active NPI
Jerry H Jenkins, M.D.
- Emergency Medicine Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J8603
- Practice address
- 2427 FM 3258
Lufkin, TX 75904-0683 - Phone
- (936) 676-1030
- Fax
- (936) 875-5197
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J8603 | TX | |
| Emergency Medicine Physician | 207P00000X | J8603 | TX | Primary |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | J8603 | TX |
Addresses
Primary practice location
2427 FM 3258
Lufkin, TX 75904-0683
Mailing address
2427 FM 3258
Lufkin, TX 75904-0683
Phone (936) 676-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172791901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Texas Southwestern Medical School at Dallas, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 4TH St
Longview, TX 75605-5128
Phone (903) 758-1818
Hospital & facility affiliations
- Palestine Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Ess of Nacogdoches LLC | Emergency Medicine | Current | Accepting new patients |
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current | Accepting new patients |
| Dr Royce Read, MD and Associates | Family Medicine | Past | Accepting new patients |
| Family Practice Associates of Hamilton Co PA | Family Medicine | Past | Accepting new patients |
| Texas Emergency Room Services PA | Emergency Medicine | Past | Accepting new patients |
| Jerry H. Jenkins, M.D., P.a. | Family Medicine | Past | Accepting new patients |
| Republic of Texas Inpatient Services PLLC | Past | Accepting new patients |
Locations
2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Nacogdoches, TX
- NPI 1780139956
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Family Medicine Physician
- Lufkin, TX
- NPI 1407946205
-
- Family Medicine Physician
- Lufkin, TX
- NPI 1821270646
-
- Family Medicine Physician
- Hamilton, TX
- NPI 1164582706
-
- Internal Medicine Physician
- San Augustine, TX
- NPI 1265796999
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palestine, TX
- NPI 1164510673
-
- Rehabilitation Hospital
- Palestine, TX
- NPI 1326113762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1497783823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2427 FM 3258",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759040683",
"telephone_number": "936-676-1030",
"fax_number": "936-875-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 FM 3258",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759040683",
"telephone_number": "936-676-1030",
"fax_number": "936-875-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JERRY",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J8603",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J8603",
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "J8603",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172791901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.