Active NPI
Justin Andrew Jenkins
- Student in an Organized Health Care Education/Training Program
- Meridian, MS
National Provider Identifier
1548929433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1696 Highway 19 S
Meridian, MS 39301-8209 - Phone
- (601) 410-4994
- NPI assigned
- Dec 8, 2021
- Last updated
- Dec 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1696 Highway 19 S
Meridian, MS 39301-8209
Mailing address
451 University Dr
Livingston, AL 35470
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jenkinj16797@uwa.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- jenkinj16797@uwa.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1548929433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 UNIVERSITY DR",
"city": "LIVINGSTON",
"state": "AL",
"postal_code": "35470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1696 HIGHWAY 19 S",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393018209",
"telephone_number": "601-410-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JUSTIN",
"middle_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jenkinj16797@uwa.edu",
"affiliation": "N",
"endpointDescription": "Private Email",
"address_1": "1696 Highway 19 S",
"city": "Meridian",
"state": "MS",
"country_code": "US",
"postal_code": "393018209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, MS
- James R. Watson, MD, Orthopedic & Sports Medicine, PLLC
- James W. Hover, DDS, PA
- Rebecca James, MD
- Shazia Javed, M.D.
- Jeffrey L McGilbra MD PLLC
- Lesley Jenkins
- Christine Jennings Jennings
- Susan Young Jentoft, M.S., LPC, NCC
- Joel T Callahan Thomas H Greer Jr & a Gary Boone PTR (Internal Medicine Clinic, PLLC)
- John Hodge, DMD, Ms
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.