John Marshall Jenkins, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY001194 Issued in GA

Practice address

712 W 2ND St
Rome, GA 30161-2933

Phone

(706) 766-1937

Fax

(706) 238-7853

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• John Marshall Jenkins PHD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rome, GA
  • NPI 1720672645
  Medicare reassignment NPD Authorized official
• Ameripartner Inc.

  • Clinical Psychologist
  • Dalton, GA
  • NPI 1023067626
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861443921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490246",
            "city": "MOUNT BERRY",
            "state": "GA",
            "postal_code": "301490246",
            "telephone_number": "706-766-1937",
            "fax_number": "706-238-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W 2ND ST",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301612933",
            "telephone_number": "706-766-1937",
            "fax_number": "706-238-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JOHN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY001194",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "1399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Roderick Jarvis, MD
• Saman Javaid, MD
• JD Medical Services, Inc.
• Guilouse Jean-Bataille, FNP
• Lormensky Jean, PHARMD
• Joshua Jenkins
• Sharon Bassett Jenkins, L.C.S.W.
• Jennings Medical Group LLC
• Gerald D. Jennings, PH. D. , LPC
• Howard Whitney Jennings, MD

• Counseling Psychologist in Rome, GA
• Providers in Rome, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.