Individual provider Active NPI

Gene Edgar Jenkins Jr., DC

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1659439545
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5794 Issued in FL
Practice address
1298 Timberlane Rd
Tallahassee, FL 32312-1765
Phone
(850) 668-4057
Fax
(850) 668-3594
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5794 FL Primary

Addresses

Primary practice location

1298 Timberlane Rd
Tallahassee, FL 32312-1765

Mailing address

1298 Timberlane Rd
Tallahassee, FL 32312-1765
Phone (850) 668-4057

Other identifiers 1

IdentifierTypeStateIssuer
22694OtherFLBCBS PROVIDER

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph D. Miller, DC, PA Chiropractor CurrentSince Jul 1, 2004 Accepting new patients

Locations

1931 Welby Way
Ste 1
Tallahassee, FL 32308
Phone (850) 443-6218

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659439545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 TIMBERLANE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121765",
            "telephone_number": "850-668-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 TIMBERLANE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121765",
            "telephone_number": "850-668-4057",
            "fax_number": "850-668-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "GENE",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "22694",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.