Jenesis Consulting and Development

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JENESIS CONSULTING AND DEVELOPMENT

Practice address

4274 Belair Frontage Rd Ste 1
Augusta, GA 30909-9428

Phone

(678) 464-8223

Fax

(706) 432-6290

NPI assigned

Nov 7, 2017

Last updated

Nov 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Monique Carter

Title

President

Phone

(678) 464-8223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1558874974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4274 BELAIR FRONTAGE RD STE 1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 BELAIR FRONTAGE RD STE 1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099428",
            "telephone_number": "678-464-8223",
            "fax_number": "706-432-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENESIS CONSULTING AND DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-464-8223",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "049473917",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clovalyn Dalvenia Jeffrey-McGann, NP
• Jacquline Jeffrey
• Marylin Linnette Jeffrey, ADVANCE PRACTICE -NP
• Sunita Jena, DO
• Orin Seth Jenckes, RKT
• Barbara Jenkins, PH.D
• Barry J Jenkins, M.D.
• Jimmy Crawford Jenkins III, NP
• Laneka Jenkins
• Latrina Jenkins

• Community/Behavioral Health Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.