Individual provider Active NPI

Zachary Houston Jenkins, AG-ACNP

  • Acute Care Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1982256772
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN232002 Issued in GA
Practice address
6301 Abercorn St
Savannah, GA 31405-5701
Phone
(912) 352-8700
NPI assigned
Jul 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN232002 GA
Acute Care Nurse Practitioner 363LA2100X RN232002 GA Primary

Addresses

Primary practice location

6301 Abercorn St
Savannah, GA 31405-5701

Mailing address

4000 Meridian Blvd
Franklin, TN 37067-6325
Phone (615) 465-7000

Other practice location 1

329 Eisenhower Dr Ste D
Savannah, GA 31406-2695
Phone (912) 661-0450

Other practice location 2

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zjenkins51548@epicsav.hcadirect.net

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200318000905 GA Practitioner - Nurse Practitioner 8325476708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statesboro Hma Physician Management LLCGroup PAC ID 8820196058, 23 clinicians

Practice addresses (Care Compare)

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 871-5437

Hospital & facility affiliations

  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075
  • Emanuel Medical Center Hospital, Swainsboro, GA, CCN 110109
  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128
  • Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN232002GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statesboro Hma Physician Management LLC Acute Care CurrentSince Mar 14, 2022 Accepting new patients
Regenerative Healthcare, LLC PastSince Dec 29, 2018 Accepting new patients
Wetherington Chiropractic Clinic PastSince Jun 9, 2014 Accepting new patients

Locations

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

4000 Meridian Blvd
Franklin, TN 37067
Phone (615) 465-7626

Organizations & group practices 3

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.

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1982256772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055701",
            "telephone_number": "912-352-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 Eisenhower Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062695",
            "country_code": "US",
            "telephone_number": "912-661-0450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1499 Fair Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304581683",
            "country_code": "US",
            "telephone_number": "912-486-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ZACHARY",
        "middle_name": "HOUSTON",
        "name_prefix": "Mr.",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN232002",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN232002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zjenkins51548@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "329 Eisenhower Dr Ste D",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314062695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.