Crystal P Jenkins, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Daytona Beach, FL
NPI 1750464152 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1750464152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- ME120108 (FL)
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 235-9058
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of Miami, LM Miller School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Coast Pathology of Florida, PA
Practice addresses (Care Compare)
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-3523
Hospital & facility affiliations
- Adventhealth Fish Memorial
- Adventhealth Deland
- Adventhealth Daytona Beach
- AdventHealth Palm Coast
- Adventhealth New Smyrna Beach
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141016001322 | FL | Practitioner - Pathology | 5991983041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN10060 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 35095559 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital-West Volusia Inc | Current | Accepting new patients | |
| East Coast Pathology of Florida, PA | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Associated Pathologists LLC | Past | Accepting new patients | |
| Pathgroup Labs, LLC | Past | Accepting new patients |
Locations
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
595 N Nova Rd
Ste 118
Ormond Beach, FL 32174
Phone (386) 231-3523
1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35095559 | OH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 46994 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | TRN10060 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME120108 | FL | Yes |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
595 N Nova Rd Ste 118
Ormond Beach, FL 32174-4429
Phone (386) 235-9058
Other providers in Daytona Beach, FL
- Toni J Jeffery
- Natalie Jeffreys
- Soondy Renae Jegede
- Katie Jendrisak
- Brittany Simone Jenkins
- Devoria Jenkins
- Kathleen Jenkins
- Shanelle Jenkins
- Kelly Leedy Jennings
- Lane E Jennings
All providers in Daytona Beach, FL · Anatomic Pathology & Clinical Pathology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.