Active NPI
Jeffrey Lee Jennings, PH.D.
- Clinical Psychologist
- Savannah, GA
National Provider Identifier
1740260256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 974
- Practice address
- 7370 Hodgson Memorial Dr
Suite B-3
Savannah, GA 31406-2536 - Phone
- (912) 351-0168
- Fax
- (912) 351-9159
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 974 | GA | Primary |
Addresses
Primary practice location
7370 Hodgson Memorial Dr
Suite B-3
Savannah, GA 31406-2536
Mailing address
7370 Hodgson Memorial Dr
Suite B-3
Savannah, GA 31406-2536
Phone (912) 351-0168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00528426A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120208000983 | GA | Practitioner - Clinical Psychologist | 9032376660 | Practice locations: Savannah, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Mississippi School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7370 Hodgson Memorial Dr
B3
Savannah, GA 31406-2539
Phone (912) 351-0168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 974 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennings & Associates | Clinical | Current | Accepting new patients |
Locations
7370 Hodgson Memorial Dr
Ste B3
Savannah, GA 31406
Phone (912) 351-0168
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Savannah, GA
- NPI 1891467007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1740260256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7370 HODGSON MEMORIAL DR",
"address_2": "SUITE B-3",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062536",
"telephone_number": "912-351-0168",
"fax_number": "912-351-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7370 HODGSON MEMORIAL DR",
"address_2": "SUITE B-3",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062536",
"telephone_number": "912-351-0168",
"fax_number": "912-351-9159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "JEFFREY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00528426A",
"state": "GA"
}
],
"endpoints": [],
"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 Oct 5, 2021; 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.