Individual provider Active NPI

Petrenia Davis-Jenkins, MD

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1710143128
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
076812 Issued in GA
Practice address
4700 Waters Ave
Savannah, GA 31404-6220
Phone
(912) 350-1316
NPI assigned
Aug 5, 2008
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address petrenia.davisjenkins@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170206000283 GA Practitioner - Family PracticePractitioner - Hospitalist 4486957123 Reassigns benefits to 4 organizations
I20190110002490 FL Practitioner - HospitalistPractitioner - Family Practice 4486957123 Reassigns benefits to 3 organizations

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
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians
Hospital Medicine Services of Ga LLCGroup PAC ID 2062997505, 90 clinicians
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

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 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Family Medicine CurrentSince Nov 4, 2019 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Jan 1, 2022 Accepting new patients
Sound Physicians of Florida VI LLC Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Jun 24, 2017 Accepting new patients
Sound Physicians of Florida IV, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Nov 4, 2019 Accepting new patients
Applecare Memorial Immediate Care Joint Venture LLC CurrentSince Jan 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.