Christopher Ryan Jimenez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

87917 Issued in GA

Practice address

411 Town Park Blvd
Evans, GA 30809-3487

Phone

(706) 854-2500

Fax

(706) 854-2559

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.jimenez.1@14928.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4

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.

• Pediatric Partners of Augusta, LLC

  • Pediatrics Physician
  • Evans, GA
  • NPI 1417064924
  NPD
• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1841794302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1758",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308091758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-854-2500",
            "fax_number": "706-854-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "87917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003252094A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Jester Jenkins, LPC
• Jennifer L Moore, LMFT, LLC
• Heather Jennings, NP
• Kimberly Jennings, NURSE PRACTITIONER
• Jacqueline Marie Jeschke, DPT
• Adeline Janine Johnson, M.D.
• Cameron Johnson
• Kenneth Ray Johnson, PA-C
• Victor L Johnson, R.PH.
• William Kent Johnson, M.D.

• Pediatrics Physician in Evans, GA
• Providers in Evans, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.