Quentin L Jenkins, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

003649 Issued in GA

Practice address

11650 Alpharetta Hwy # 100
Roswell, GA 30076-3805

Phone

(404) 596-5670

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Premier Neurosurgical Institute, LLC

  • Specialist
  • Marietta, GA
  • NPI 1508185265
  NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1962479956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 ALPHARETTA HWY # 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763805",
            "telephone_number": "404-596-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 ALPHARETTA HWY # 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763805",
            "telephone_number": "404-596-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Barrett Lakes Blvd NW Apt 612",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301447528",
            "country_code": "US",
            "telephone_number": "404-989-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "QUENTIN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "003649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1962479956",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@atlgso.com",
            "affiliation": "N",
            "address_1": "11650 Alpharetta Hwy # 100",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300763805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ritz Joy Jen, D.M.D.
• Ashley Jenkins, NP
• Hulannie Jenkins, MD
• Jasmine Nicole Jenkins, LPC
• Marche D Jenkins, CRNA
• Jann Allyn Jennelle, PT, LMT
• Adam Jensen
• Mogens Reimer Jensen, PH.D.
• Thomas Jeon
• Donni L. Jester, FNP

• Surgical Physician Assistant in Roswell, GA
• Providers in Roswell, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.