Active NPI
John R Jenkins, D.O.
- Internal Medicine Physician
- Morehead, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04719
- Practice address
- 222 Medical Cir
Morehead, KY 40351-1179 - Phone
- (606) 783-6500
- Fax
- (606) 783-6598
- NPI assigned
- Jul 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102203664 | VA | |
| Internal Medicine Physician | 207R00000X | 04719 | KY | Primary |
Addresses
Primary practice location
222 Medical Cir
Morehead, KY 40351-1179
Mailing address
222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500
Other practice location 1
100 15th St NW
Suite 307
Norton, VA 24273-1616
Phone (276) 439-1140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790030013 | Medicaid | VA | |
| 7100667890 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04719 | KY | MD | Internal Medicine Physician |
| 0102203664 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Multi-Specialty | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Multi-Specialty | Current | Accepting new patients |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| St Claire Medical Center, Inc., | Multi-Specialty | Current | Accepting new patients |
| St Claire Medical Center Inc | Multi-Specialty | Past | Accepting new patients |
Locations
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
100 15th St NW
Ste 307
Norton, VA 24273
Phone (276) 439-1450
100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Multi-Specialty
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
Multi-Specialty
-
- Rural Health Clinic/Center
- Morehead, KY
- NPI 1477236487
-
- Cardiovascular Disease Physician
- Abingdon, VA
- NPI 1902938871
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
Multi-Specialty
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1124078696
Multi-Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- West Liberty, KY
- NPI 1356367270
-
- Critical Access Hospital
- Flemingsburg, KY
- NPI 1881726347
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1124078696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1790030013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MEDICAL CIR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511179",
"telephone_number": "606-783-6500",
"fax_number": "606-783-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MEDICAL CIR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511179",
"telephone_number": "606-783-6500",
"fax_number": "606-783-6598"
}
],
"practiceLocations": [
{
"address_1": "100 15th St NW",
"address_2": "Suite 307",
"address_purpose": "LOCATION",
"city": "Norton",
"state": "VA",
"postal_code": "242731616",
"country_code": "US",
"telephone_number": "276-439-1140",
"fax_number": "276-439-1143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-24",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102203664",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": "04719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790030013",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100667890",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.