Active NPI
Marche D Jenkins, CRNA
- Certified Registered Nurse Anesthetist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 148720
- Practice address
- 1390 Bellsmith Dr
Roswell, GA 30076-0916 - Phone
- (770) 521-7509
- NPI assigned
- Jan 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 148720 | NC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN180094 CRNA | GA |
Addresses
Primary practice location
1390 Bellsmith Dr
Roswell, GA 30076-0916
Mailing address
1390 Bellsmith Dr
Roswell, GA 30076-0916
Phone (770) 521-7509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051448 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN180094 CRNA | GA | MD | Certified Registered Nurse Anesthetist |
| 148720 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Anesthesia Professionals Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ahp of Central Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| North Fulton OB-GYN, P.C. | Past | Accepting new patients | |
| Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Georgia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
11975 Morris Rd
Ste 310B
Alpharetta, GA 30005
Phone (770) 754-4445
11975 Morris Rd
Ste 31B
Alpharetta, GA 30005
2678 Buford Hwy NE
Atlanta, GA 30324
Phone (678) 500-1066
494 Boulevard SE
Atlanta, GA 30312
Phone (404) 607-1002
550 Peachtree St NE
Ste 1220
Atlanta, GA 30308
Phone (404) 230-5622
1800 Peachtree St NW
Ste 640
Atlanta, GA 30309
Phone (404) 370-1817
1790 Mulkey Rd
Ste 9A
Austell, GA 30106
Phone (770) 739-1200
1403 Manchester Dr NE
Conyers, GA 30012
Phone (770) 760-8484
755 Commerce Dr
Ste 300
Decatur, GA 30030
Phone (404) 593-2739
3635 Peachtree Industrial Blvd
Ste 150
Duluth, GA 30096
Phone (678) 474-1115
10475 Medlock Bridge Rd
Ste 810
Johns Creek, GA 30097
Phone (470) 771-2436
6290 Abbotts Bridge Rd
Ste 201
Johns Creek, GA 30097
Phone (470) 395-4871
1595 Kennesaw Due West Rd NW
Ste 100
Kennesaw, GA 30152
Phone (470) 308-3365
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
3200 Highlands Pkwy SE
Ste 420
Smyrna, GA 30082
Phone (678) 424-1123
2685 Peachtree Pkwy
Ste 300
Suwanee, GA 30024
Phone (770) 771-5260
Interoperability endpoints
- https://api.platform.athenahealth.com/8406/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1972692978
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467445262
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1972638047
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467400481
Nurse Anesthetist, Certified Registered
-
- Specialist
- Alpharetta, GA
- NPI 1326220567
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1801961875
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1568442010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 BELLSMITH DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300760916",
"telephone_number": "770-521-7509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 BELLSMITH DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300760916",
"telephone_number": "770-521-7509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MARCHE",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "148720",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN180094 CRNA",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051448",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.