Individual provider Active NPI

Daronne Jenkins, DPT

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1801277025
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011887 Issued in GA
Practice address
2650 Dallas Hwy SW Ste 210
Marietta, GA 30064
Phone
(770) 485-2891
NPI assigned
Jun 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011887 GA Primary

Addresses

Primary practice location

2650 Dallas Hwy SW Ste 210
Marietta, GA 30064

Mailing address

2650 Dallas Hwy SW Ste 210
Marietta, GA 30064-7508
Phone (770) 485-2891

Other practice location 1

2650 Dallas Hwy SW Ste 210
Marietta, GA 30064
Phone (770) 485-2891

Other practice location 2

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913000271 GA Practitioner - Physical Therapist in Private Practice 4789970021 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians
2DRS Plus Investment Group, LLCGroup PAC ID 2567845951, 10 clinicians
Integrated Therapy LLCGroup PAC ID 1153317300, 48 clinicians

Practice addresses (Care Compare)

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

2745 Sandy Plains Rd
Suite 154
Marietta, GA 30066-4396
Phone (770) 783-1171

562 Research Dr
Athens, GA 30605-2730
Phone (404) 351-5307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011887GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Mar 27, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Mar 27, 2025 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Oct 5, 2019 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 27, 2025 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
2DRS Plus Investment Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Oct 5, 2019 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince Apr 9, 2025 Accepting new patients
Emory Physical Therapy, LLC Past Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Dec 3, 2022 Accepting new patients

Locations

855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336

2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808

915 Hawthorne Ave
Athens, GA 30606

562 Research Dr
Athens, GA 30605

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

2745 Sandy Plains Rd
Ste 154
Marietta, GA 30066
Phone (770) 783-1171

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1801277025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 DALLAS HWY SW STE 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647508",
            "telephone_number": "770-485-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 DALLAS HWY SW STE 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30064",
            "telephone_number": "770-485-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Dallas Hwy SW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "30064",
            "country_code": "US",
            "telephone_number": "770-485-2891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Gentilly Blvd",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "30120",
            "country_code": "US",
            "telephone_number": "678-719-7000",
            "fax_number": "678-719-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DARONNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.