NPIMap

Individual provider Active NPI

Sean Jenkins, DO

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1508246653
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102205201 Issued in VA
Practice address
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone
(865) 305-9000
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0102205201 VA Primary

Addresses

Primary practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Mailing address

500 Hioaks Rd Ste B
Richmond, VA 23225-4061
Phone (804) 560-0490

Other practice location 1

500 Hioaks Rd Ste B
Richmond, VA 23225-4061
Phone (804) 560-0490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SEAN.JENKINS@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190103002906 VA Practitioner - Family Practice 9739479122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Group IncGroup PAC ID 3577465202, 18 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

500 Hioaks Rd B
Richmond, VA 23225-4061
Phone (804) 560-0490

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

  • HCA Virginia Healthcare at Home Home health agency, North Chesterfield, VA, CCN 497625
  • Commonwealth Home Care Home health agency, Richmond, VA, CCN 497703
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Sheltering Arms Institute Inpatient rehabilitation facility, Richmond, VA, CCN 493036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102205201VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Group Inc Family Medicine CurrentSince Nov 6, 2018 Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10130 Hull Street Rd
Midlothian, VA 23112
Phone (804) 276-6900

6439 Iron Bridge Rd
North Chesterfield, VA 23234
Phone (804) 271-8960

500 Hioaks Rd
Ste B
Richmond, VA 23225
Phone (804) 320-1339

Interoperability endpoints

  • Direct secure messaging: sean.jenkins@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1508246653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HIOAKS RD STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254061",
            "telephone_number": "804-560-0490",
            "fax_number": "804-560-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Hioaks Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232254061",
            "country_code": "US",
            "telephone_number": "804-560-0490",
            "fax_number": "804-560-3424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SEAN.JENKINS@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "500 Hioaks Rd Ste B",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232254061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.