Individual provider Active NPI

Mark A Jenkins, D.O.

  • Orthopaedic Surgery Physician
  • Savannah, GA
National Provider Identifier
1861443665
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
050027 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3637
Phone
(912) 355-6615
Fax
(912) 351-0645
NPI assigned
May 15, 2006
Last updated
May 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 050027 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3637

Mailing address

4425 Paulsen St
Savannah, GA 31405-3637
Phone (912) 355-6615

Other practice location 1

101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9579
Phone (912) 355-6615

Other identifiers 2

IdentifierTypeStateIssuer
000904329AMedicaidGA
20041000OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20111027000816 GA Practitioner - Orthopedic Surgery 2365344645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement30
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Orthopedic Practice, LLC Orthopaedic Surgery CurrentSince Jan 1, 2017 Accepting new patients
Chatham Orthopaedic Associates, PA Orthopaedic Surgery Current Accepting new patients
Chatham Orthopaedic Associates, PA Orthopaedic Surgery CurrentSince Aug 1, 2001 Accepting new patients
Chatham Orthopaedic Associates, PA Orthopaedic Surgery CurrentSince Aug 1, 2001 Accepting new patients

Locations

101 Saint Josephs Candler Dr
Fl 1
Pooler, GA 31322
Phone (912) 351-6615

20 William Blakely Xing
Pooler, GA 31322

1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

4425 Paulsen St
Bldg B
Savannah, GA 31405

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

Interoperability endpoints

  • Direct secure messaging: mark.jenkins.1@18355.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1861443665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 St Josephs Candler Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229579",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "050027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904329A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "20041000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.