Active NPI
Gerard Jenkins
- Other Technician
- Carrollton, GA
National Provider Identifier
1881485092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 058281911
- Practice address
- 3317 Horsley Mill Rd
Carrollton, GA 30116-8003 - Phone
- (404) 549-3891
- NPI assigned
- May 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 058281911 | GA | Primary |
Addresses
Primary practice location
3317 Horsley Mill Rd
Carrollton, GA 30116-8003
Mailing address
650 Ponce de Leon Ave NE # 2052
Atlanta, GA 30308-1804
Phone (678) 577-4886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058281911 | GA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Home Ministries Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Carrollton, GA
- NPI 1063372142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1881485092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 PONCE DE LEON AVE NE # 2052",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081804",
"telephone_number": "678-577-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 HORSLEY MILL RD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301168003",
"telephone_number": "404-549-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "GERARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "GA",
"license": "058281911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.