Individual provider Active NPI

Jeffrey Lee Jennings, PH.D.

  • Clinical Psychologist
  • Savannah, GA
National Provider Identifier
1740260256
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
974 Issued in GA
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

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00528426AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
974GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennings & Associates Clinical CurrentSince Oct 10, 2021 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.

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

Verify at the official NPI Registry.