Philip Andrew Jenkins, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015173 Issued in GA

Practice address

118 Hawthorn LN Ste a
Saint Marys, GA 31558-9203

Phone

(912) 729-4748

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1609226448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 PATHVIEW LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621460",
            "telephone_number": "770-722-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HAWTHORN LN STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589203",
            "telephone_number": "912-729-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "PHILIP",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Nelson Janusko
• Helen Jarvis, COTA
• Jason a. Hill Professional Counselor
• Delma Christine Jay, BSPA-CAC II
• Margene Lexxus Jenkins
• JLR Ventures LLC
• Sarah Johnsen, PT
• Aleta Johnson
• Amber Johnson
• David Johnson

• General Practice Dentistry in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.