Mark C Jenkins (NPI# 1558364810, PAC ID# 6305884552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558364810 |
| PAC ID by PECOS | 6305884552 |
| Professional Enrollment ID | I20050419001149 |
| Full Name | Mark C Jenkins |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC |
| Address |
701 W Main Blvd Church Hill TN 37642-3915 |
| Phone Number | 4233577178 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840587572 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440176 | INDIAN PATH MEDICAL CENTER |
| 440001 | UNICOI COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 701 W Main Blvd, Church Hill, TN 37642-3915 | 4233577178 | IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahogany N Anthony | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 106 Holt Ct, Greeneville, TN 37743-6917 |
| Holly A Parvin | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 725 Crum St, Greeneville, TN 37743-6118 |
| Andrea R Dooley | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 415 Pace St, Mcminnville, TN 37110-1246 |
| Jamie White | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 100 Elmhurst Dr, Oak Ridge, TN 37830-7621 |
| Sarah Elizabeth Wellman | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 731 Castle Heights Ct, Lebanon, TN 37087-2646 |
| Steve Stride | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 832 Wedgewood Ave, Nashville, TN 37203-5447 |
| Jennifer Aileen Correll | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 791 Old Gray Station Rd, Gray, TN 37615-3717 |
| Kathleen Elizabeth Carroll | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 704 Dupree St, Brownsville, TN 38012 |
| Theresa Ann Groomes | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 2035 Stonebrook Pl, Kingsport, TN 37660-4000 |
| Clint H Trest | Nurse Practitioner | Ipc Pac Healthcare Services of Tennessee PC | 1950 Grandview Dr, Grenada, MS 38901-5066 |
| Street Address |
701 W MAIN BLVD |
| City | CHURCH HILL |
| State | TN |
| Zip | 37642-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Viorel Manole | Internal Medicine | Holston Medical Group PC | 406 E Main Blvd, Church Hill, TN 37642-3405 |
| Terri Duncan | Nurse Practitioner | Holston Medical Group PC | 406 E Main Blvd, Church Hill, TN 37642-3405 |
| City | CHURCH HILL |
| Zip Code | 37642 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHURCH HILL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark C Jenkins.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.