Active NPI
Petrenia Davis-Jenkins, MD
- Family Medicine Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 076812
- Practice address
- 4700 Waters Ave
Savannah, GA 31404-6220 - Phone
- (912) 350-1316
- NPI assigned
- Aug 5, 2008
- Last updated
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME134631 | FL | |
| Family Medicine Physician | 207Q00000X | 076812 | GA | Primary |
| Hospitalist Physician | 208M00000X | 076812 | GA |
Addresses
Primary practice location
4700 Waters Ave
Savannah, GA 31404-6220
Mailing address
344 Magnolia Creek Walk
Ponte Vedra Beach, FL 32081-0665
Phone (225) 802-0294
Other practice location 1
1731 University Blvd S
Jacksonville, FL 32216-8928
Phone (904) 725-0200
Other practice location 2
1481 Hwy 40 E
Kingsland, GA 31548-6507
Phone (912) 576-6865
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | petrenia.davisjenkins@hca5.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 Hwy 54 W
Suite 201
Fayetteville, GA 30214-4538
Phone (770) 461-3776
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Jacksonville, LLC | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients | |
| Sound Physicians of Florida VI LLC | Family Medicine | Current | Accepting new patients |
| Peachtree Immediate Care FP, LLC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Applecare Memorial Immediate Care Joint Venture LLC | Current | Accepting new patients | |
| Savannah Health Services, LLC | Past | Accepting new patients | |
| Peachtree Immediate Care UC, LLC | Past | Accepting new patients |
Locations
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
3100 E Fletcher Ave
#C
Tampa, FL 33613
1111 Glynco Pkwy
Ste 10
Brunswick, GA 31525
Phone (912) 264-9111
485 Canal Rd
Brunswick, GA 31525
Phone (912) 264-9111
2768 Watson Blvd
#100
Centerville, GA 31028
Phone (478) 302-0001
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
111 Colonial Way
Jesup, GA 31545
Phone (912) 427-8177
1481 Highway 40 E
Kingsland, GA 31548
Phone (912) 576-2565
275 Perry Pkwy
Perry, GA 31069
Phone (478) 218-7582
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
14089 Abercorn St
Savannah, GA 31419
Phone (912) 349-4945
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
586 Brannen St
Statesboro, GA 30458
Phone (912) 871-6611
1430 US Highway 82 W
Ste 105
Tifton, GA 31793
Phone (229) 388-0266
3281 Inner Perimeter Rd
Valdosta, GA 31602
Phone (229) 671-9100
1912 Memorial Dr
Waycross, GA 31501
Phone (912) 283-7100
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- pdavisjenkins442975@direct.shands.ufl.edu
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1417761073
Family Medicine
-
- Hospitalist Physician
- Savannah, GA
- NPI 1891653655
-
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1962817601
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
Family Medicine
-
- Internal Medicine Physician
- Palm Coast, FL
- NPI 1740633635
Family Medicine
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1235712415
-
- Urgent Care Clinic/Center
- Decatur, GA
- NPI 1235573841
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Health University Medical Center
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1710143128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 MAGNOLIA CREEK WALK",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320810665",
"telephone_number": "225-802-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-1316"
}
],
"practiceLocations": [
{
"address_1": "1731 University Blvd S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322168928",
"country_code": "US",
"telephone_number": "904-725-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1481 Hwy 40 E",
"address_purpose": "LOCATION",
"city": "Kingsland",
"state": "GA",
"postal_code": "315486507",
"country_code": "US",
"telephone_number": "912-576-6865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS-JENKINS",
"first_name": "PETRENIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2022-01-04",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME134631",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "076812",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "076812",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "petrenia.davisjenkins@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1481 Hwy 40 E",
"city": "Kingsland",
"state": "GA",
"country_code": "US",
"postal_code": "315486507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.