Millicent Porter Jenkins, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN195575 Issued in GA

Practice address

325 Georgia Ave Ste 100
North Augusta, SC 29841-3848

Phone

(803) 202-3351

Fax

(803) 819-8532

NPI assigned

Mar 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Piedmont Professional Services, LLC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1104088905

  SC

  Medicare reassignment
• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1770723579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GEORGIA AVE STE 100",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413848",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Silver Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298035879",
            "country_code": "US",
            "telephone_number": "803-648-0587",
            "fax_number": "803-648-9846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Walnut Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7110",
            "fax_number": "803-202-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095875",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095875",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Lake Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309077932",
            "country_code": "US",
            "telephone_number": "706-250-6919",
            "fax_number": "706-250-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3486 Peach Orchard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065215",
            "country_code": "US",
            "telephone_number": "706-828-8049",
            "fax_number": "706-828-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Branch Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133325",
            "country_code": "US",
            "telephone_number": "706-396-1199",
            "fax_number": "706-396-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MILLICENT",
        "middle_name": "PORTER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3873",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN195575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jackson
• Josef Beethoven Jacobson, D.P.T.
• Victoria James, RN
• Jeffrey N Broder MD
• Jeffrey N Broder MD PC
• Faye D Jennings, NP
• David M Jester, MD
• John M. Newell, III , DMD
• John W L Smith OD
• John W.L. Smith OD PA

• Family Nurse Practitioner in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.