Individual provider Active NPI

Savanna Marie Jenks, FNP-BC

  • Primary Care Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1801412887
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
27807 Issued in TN
Practice address
915 S Garden St
Columbia, TN 38401-3205
Phone
(931) 548-8090
Fax
(931) 584-8110
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 168820 TN
Primary Care Nurse Practitioner 363LP2300X 27807 TN Primary

Addresses

Primary practice location

915 S Garden St
Columbia, TN 38401-3205

Mailing address

811 Old Lewisburg Hwy
Columbia, TN 38401-8132
Phone (931) 446-2771

Other practice location 1

110 Weakley Creek Rd
Lawrenceburg, TN 38464-2238
Phone (931) 766-5001

Other names 1

  • Savanna M Jenks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211202001700 TN Practitioner - Nurse Practitioner 6103216338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Family Health, LLCGroup PAC ID 3072896943, 6 clinicians

Practice addresses (Care Compare)

915 S Garden St
Columbia, TN 38401-3205
Phone (931) 548-8090

Hospital & facility affiliations

  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
168820TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Family Health, LLC CurrentSince Sep 27, 2021 Accepting new patients
Mid -Tennessee Family Health Center PastSince Jun 19, 2017 Accepting new patients

Locations

915 S Garden St
Columbia, TN 38401
Phone (931) 548-8090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24835/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1801412887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 OLD LEWISBURG HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384018132",
            "telephone_number": "931-446-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S GARDEN ST",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013205",
            "telephone_number": "931-548-8090",
            "fax_number": "931-584-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Weakley Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384642238",
            "country_code": "US",
            "telephone_number": "931-766-5001",
            "fax_number": "931-762-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKS",
        "first_name": "SAVANNA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2022-04-26",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "168820",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "27807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNA",
            "last_name": "JENKS",
            "middle_name": "M",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.