Kwame B Jenkins, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11042 Issued in FL

Practice address

4617 Brentwood Ave
Jacksonville, FL 32206-6168

Phone

(904) 350-5544

Fax

(904) 350-9944

NPI assigned

Dec 4, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McGowan Spinal Rehabilitation Center PAGroup PAC ID 9931235553, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• McGowan Spinal Rehabilitation Center PA

  • Chiropractor
  • Jacksonville, FL
  • NPI 1558453662
  Medicare reassignment Care Compare group NPD
• Digital Motion X-Ray of Florida, LLC

  • Radiology Chiropractor
  • Jacksonville, FL
  • NPI 1881996759
  NPD (past)

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1689005407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-350-5544",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 BRENTWOOD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066168",
            "telephone_number": "904-350-5544",
            "fax_number": "904-350-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KWAME",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Jenkins, MD
• Helena Danea Jenkins, MS
• Hollie Jenkins
• Jacquetta Algelrina Jenkins, LPN
• Joya N Jenkins, RDCS
• Lindsey Nicole Jenkins, DPT
• Margaret Jenkins
• Marlena L. Jenkins, B.A.,, BCABA
• Marvin Jenkins
• Rachel Jenkins, RBT

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.