Lauren Jenkins, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

2020-02972 Issued in NC

Practice address

15830 Ballantyne Medical PL Ste 225
Charlotte, NC 28277-0760

Phone

(704) 919-1105

Fax

(704) 910-3163

NPI assigned

May 22, 2015

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGGEAA

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.

• Dermatologic Surgery of the Carolinas LLC

  • MOHS-Micrographic Surgery Physician
  • Charlotte, NC
  • NPI 1790961670

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1821477811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PL STE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770760",
            "telephone_number": "704-919-1105",
            "fax_number": "704-910-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PL STE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770760",
            "telephone_number": "704-919-1105",
            "fax_number": "704-910-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Herlong Ave S Ste 103",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321091",
            "country_code": "US",
            "telephone_number": "704-919-1105",
            "fax_number": "704-910-3163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LAUREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL38128",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2020-02972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.lane@dsc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "15830 Ballantyne Medical Pl Ste 225",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282770760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evonne Lynette Jenkins, LCSW
• Hazel Jenkins
• Janiece Brianne Peterson Jenkins, LCSW
• Jasmine Jenkins, LCMHC
• Latesha Jenkins
• Sheri McClellan Jenkins, MD
• Stephanie Jenkins
• Sydney Jenkins
• Tameka Denise Jenkins, MS, LPC
• Tiffany Lavette Jenkins, LPC

• MOHS-Micrographic Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.