MR. MARK JENNINGS (NPI# 1437314002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437314002 |
| Entity Type | Individual |
| Full Name | MR. MARK JENNINGS |
| Practice Address |
303 Horseshoe Dr Goldsboro NC 27534-8715 |
| Practice Telephone | 9194408989 |
| Mailing Telephone | 9194408955 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598713166 | Mark Oliver Jennings | Psychiatry & Neurology | 7446 Shallowford Road, Suite 104, Chattanooga, TN 37341 | 2006-05-05 |
| 1578538955 | Mark R Jennings | Surgery | 3300 Mercy Health Blvd Ste 2010, Cincinnati, OH 45211-1103 | 2006-02-21 |
| 1356315246 | Mark Jennings | Neuromusculoskeletal Medicine & OMM | Pediatric Neurology, 515 Ne Glen Oak #308, Peoria, IL 61603 | 2006-02-15 |
| 1396124988 | Mark William Jennings | Student in an Organized Health Care Education/Training Program | 2800 Main St, Bridgeport, CT 06606-4201 | 2015-05-28 |
| 1336379783 | Mark Byron Jennings | Internal Medicine | 1105 Central Expy N Ste 235, Allen, TX 75013-6135 | 2009-07-20 |
| 1164682688 | Mark Thomas Jennings | Internal Medicine | 1830 E Monument St, 5th Floor, Baltimore, MD 21287-0020 | 2008-06-10 |
| 1003915539 | Mark Randall Jennings | Internal Medicine | 2015 Jackson St, Anderson, IN 46016-4337 | 2006-09-21 |
| Street Address |
303 HORSESHOE DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000976 | Jamel Jones | Case Manager/Care Coordinator | 107 Davelin Pl, Goldsboro, NC 27530-4507 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821952 | Tracy Simerson | Case Manager/Care Coordinator | 9021 Duval Hill St, Raleigh, NC 27603-7522 | 2020-08-13 |
| 1104449164 | Yolanda Lynn Simpson | Case Manager/Care Coordinator | 559 Foster Rd, Yanceyville, NC 27379-8914 | 2020-05-26 |
| 1487274064 | J'aunie Y Mcrae-knight | Case Manager/Care Coordinator | 2037 Mlk Jr Dr, Greensboro, NC 27406-3314 | 2020-04-23 |
| 1144849597 | Barbara Denise Gaskins | Case Manager/Care Coordinator | 719 W 15th St Ste 727, Washington, NC 27889-3667 | 2020-04-15 |
| 1386273894 | Human Coalition | Case Manager/Care Coordinator | 4237 Louisburg Rd Ste 105, Raleigh, NC 27604-4348 | 2020-04-06 |
| 1275172298 | Kelsy Timas | Case Manager/Care Coordinator | 143 Skateway Dr, Fayetteville, NC 28304-2640 | 2019-12-23 |
| 1972153328 | Monida Fields | Case Manager/Care Coordinator | 4845 Ashley Park Ln Apt 220, Charlotte, NC 28210-4134 | 2019-09-18 |
| 1245884196 | Mildred Hopkins | Case Manager/Care Coordinator | 507 1st St, Spring Hope, NC 27882-9342 | 2019-07-30 |
| 1972167302 | Wfic | Case Manager/Care Coordinator | 811 Wesley Dr, Salisbury, NC 28146-2257 | 2019-05-01 |
| 1871157636 | Marsha Weatherly | Case Manager/Care Coordinator | 4209b Whitehurst Dr, Wilmington, NC 28409-4857 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.