PETRENIA DAVIS-JENKINS (NPI# 1710143128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710143128 |
Entity Type | Individual |
Full Name | PETRENIA DAVIS-JENKINS |
Credential | MD |
Practice Address |
1481 Hwy 40 E Kingsland GA 31548-6507 |
Mailing Address |
344 Magnolia Creek Walk Ponte Vedra Beach FL 32081-0665 |
Practice Telephone | 9125766865 |
Mailing Telephone | 2258020294 |
Enumeration Date | 2008-08-05 |
Last Update Date | 2019-12-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | ME134631 | FL | Allopathic & Osteopathic Physicians |
Y | 207Q00000X | Family Medicine | 076812 | GA | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 076812 | GA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4700 Waters Ave, Savannah, GA 314046220 | 9123501316 | |
1731 University Blvd S, Jacksonville, FL 322168928 | 9047250200 |
Street Address |
1481 HWY 40 E |
City | KINGSLAND |
State | GA |
Zip Code | 31548-6507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467947838 | Denise Elizabeth Moroz | Nurse Practitioner | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2018-06-27 |
1841708625 | Applecare LLC | Emergency Medicine | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2018-01-16 |
1063932101 | Cynthia Dawn White | Nurse Practitioner | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2017-06-20 |
1013353143 | Yvonne Tyson | Nurse Practitioner | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2013-05-15 |
1982910048 | Amelia Medical Services, LLC | Clinic/Center | 1481 Hwy 40 E, Kingsland, GA 31548-6507 | 2010-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
Find all providers in zip 31548 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
1003076043 | Gerald Terrence O'donoghue | Family Medicine | 108 Meridian Dr, Kingsland, GA 31548-7102 | 2008-06-12 |
1326244435 | Noel N Chua | Family Medicine | 125 Andrews Way Ste B, Kingsland, GA 31548-6854 | 2007-06-25 |
1851482681 | Martha Patricia Sanchez-silva | Family Medicine | 1375 E King Ave Ste A, Kingsland, GA 31548-6831 | 2006-09-27 |
1700988714 | Alan E. Leifeste II | Family Medicine | 525 Rr 2900, Kingsland, TX 78639-6000 | 2006-09-01 |
1710927405 | Camden Healthcare Assoc Inc | Family Medicine | 130 N Gross Rd, Suite 201, Kingsland, GA 31548 | 2006-06-08 |
1154303725 | Grady F Miller | Family Medicine | 105 Fm 2342, Kingsland, TX 78639-6010 | 2005-11-18 |
1407206527 | Ryan P Allen | Family Medicine | 105 Fm 2342, Kingsland, TX 78639-6010 | 2016-06-20 |
1376735597 | Abc Pediatrics and Family Care Center, P.C. | Family Medicine | 39 Andrews Way, Kingsland, GA 31548-6833 | 2007-08-11 |
1912115452 | Peds and Parents Family Care, LLC | Family Medicine | 124 Andrews Way, Suite B, Kingsland, GA 31548-6860 | 2007-05-18 |
Find all providers in KINGSLAND |
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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.