Ronald M Jennings, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

003014 Issued in GA

Practice address

7615 Mount Zion Blvd
Jonesboro, GA 30236-7934

Phone

(770) 985-4257

Fax

(770) 985-4258

NPI assigned

Sep 27, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, WI, KS, NC4 enrollments

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 4

Specialty

Physician Assistant

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of North Carolina at Chapel Hill 2,028 clinicians

Hays Medical Center Inc 188 clinicians

Southern Illinois Medical Services NFP 331 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
• Hays Medical Center Hospital, Hays, KS, CCN 170013

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rjennings84478@sih.direct-ci.com

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.

• Southern Illinois Medical Services, NFP

  • Internal Medicine Physician
  • Carbondale, IL
  • NPI 1770656837

  IL

  Medicare reassignment Care Compare group NPD
• University of North Carolina at Chapel Hill

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200

  NC

  Medicare reassignment Care Compare group NPD
• Hays Medical Center, Inc.

  • Interventional Cardiology Physician
  • Hays, KS
  • NPI 1770618258

  KS

  Medicare reassignment Care Compare group
• Ascension Medical Group-Fox Valley Wisconsin, Inc

  • Multi-Specialty Clinic/Center
  • Neenah, WI
  • NPI 1730126392

  WI

  Medicare reassignment NPD
• Southern Creseant Surgical Assistants

  • Surgical Physician Assistant
  • Jonesboro, GA
  • NPI 1841418225

  Surgical

  NPD (past) Authorized official
• Hays Medical Center, Inc.

  • Internal Medicine Physician
  • Hays, KS
  • NPI 1871567479
  Care Compare group NPD (past)
• Southern Illinois Medical Services, NFP

  • Rural Health Clinic/Center
  • Carbondale, IL
  • NPI 1154510808
  Care Compare group NPD (past)
• Hays Medical Center Inc

  • General Acute Care Hospital
  • Hays, KS
  • NPI 1881697043
  Care Compare group
• Hays Medical Center, Inc.

  • Rural Health Clinic/Center
  • Hays, KS
  • NPI 1255308045
  Care Compare group
• Hays Medical Center, Inc.

  • Community Based Hospice Care Agency
  • Hays, KS
  • NPI 1568409183
  Care Compare group
• Hays Medical Center, Inc.

  • Rehabilitation Hospital Unit
  • Hays, KS
  • NPI 1760429385
  Care Compare group
• Hays Medical Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hays, KS
  • NPI 1962669002
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hays Medical Center Inc

  • General Acute Care Hospital
  • Hays, KS
  • NPI 1881697043

  Hospital

  Care Compare affiliation
• Southern Illinois Hospital Services

  • General Acute Care Hospital
  • Carbondale, IL
  • NPI 1093801797

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1992896880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100286",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100286",
            "telephone_number": "352-265-0535",
            "fax_number": "352-627-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 MOUNT ZION BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302367934",
            "telephone_number": "770-985-4257",
            "fax_number": "770-985-4258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "352-265-0535",
            "fax_number": "352-627-4173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W Jackson St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011474",
            "country_code": "US",
            "telephone_number": "618-457-3006",
            "fax_number": "618-457-3007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-265-0535",
            "fax_number": "352-627-4173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0535",
            "fax_number": "352-627-4173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "003014",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjennings84478@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 W Jackson St Ste 206",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharice Javies
• Jcmi
• Yanic Jean-Jacques, MSW
• Leocharlson Jean-Louis, OTR/L
• Martha Dorothy Jenkins, MASTER DEGREE
• Jericho Adult Day Care Center Inc.
• Stefan Alexander Jerome, PTA
• Lakeacha M Jett
• Allison R Johns, PAAA
• Amariyah Tiana Johnson

• All providers in Jonesboro, GA
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.