Bolivia Traci Jenkins, MD - Medicare Family Practice in Gray, GA

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Bolivia Traci Jenkins, MD is a medicare enrolled "Family Medicine" physician in Gray, Georgia. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern Regional Physicians Management Group, Llc and her current practice location is 1005 Boulder Dr, Gray, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 621-2072.

Bolivia Traci Jenkins is licensed to practice in Georgia (license number 99763) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275111304.

Contact Information

Bolivia Traci Jenkins, MD
1005 Boulder Dr,
Gray, GA 31032-6141
(478) 621-2072
Not Available

Map and Direction




Physician's Profile

Full NameBolivia Traci Jenkins
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location1005 Boulder Dr, Gray, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bolivia Traci Jenkins graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1275111304
  • Provider Enumeration Date: 03/30/2021
  • Last Update Date: 08/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961803093
  • Enrollment ID: I20241219003640

Medical Identifiers

Medical identifiers for Bolivia Traci Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275111304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 99763 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Affinis Hospice Llc- NewnanNewnan, GAHospice
Southland Health And RehabilitationPeachtree city, GANursing home
Ansley Park Health And RehabilitationNewnan, GANursing home
Newnan Health And RehabilitationNewnan, GANursing home
Avalon Health And RehabilitationNewnan, GANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Regional Physicians Management Group, Llc903249195622

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bolivia Traci Jenkins allows following entities to bill medicare on her behalf.
Entity NameCommunity Primary Care Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336492511
PECOS PAC ID: 0648421065
Enrollment ID: O20121113000274
Entity NameSouthern Regional Physicians Management Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043677271
PECOS PAC ID: 9032491956
Enrollment ID: O20170127002483

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bolivia Traci Jenkins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bolivia Traci Jenkins, MD
1005 Boulder Dr,
Gray, GA 31032-6141

Ph: (478) 621-2072		Bolivia Traci Jenkins, MD
1005 Boulder Dr,
Gray, GA 31032-6141

Ph: (478) 621-2072

Reviews and Comments


Family Medicine Doctors in Gray, GA

Mrs. Linda S Arnold, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 260 W Clinton St, Gray, GA 31032
Phone: 478-986-4743    Fax: 478-986-3921
Dr. Melissa D Primrose, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 770-502-2049
Meredi A Anders, PAC
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4292 Gray Hwy, Gray, GA 31032
Phone: 478-864-3448    Fax: 478-864-1288
Dr. Wyatt Kenny Blake, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 478-744-0481
Dr. Robert David Campbell, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 478-744-0481
Dr. Ralph Parks Warnock, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1005 Boulder Dr, Gray, GA 31032
Phone: 478-621-2100    Fax: 478-744-0481

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.