| Loni Elise Jenkins, MD | |
|
3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281-4142 | |
| (770) 507-0029 | |
| (770) 507-9990 |
| Full Name | Loni Elise Jenkins |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 3579 Highway 138 Se, Stockbridge, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053515338 | NPI | - | NPPES |
| 141367 | Other | NC | RESIDENT TRAINING LICENSE |
| 806901621A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 141367 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 063358 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Emory University Hospital Midtown | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3084 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Loni Elise Jenkins, MD 1065 Jodeco Rd, Stockbridge, GA 30281-4953 Ph: (678) 284-6300 | Loni Elise Jenkins, MD 3579 Highway 138 Se, Suite 101, Stockbridge, GA 30281-4142 Ph: (770) 507-0029 |
Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 | |
Edwina Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 | |
Dr. Clifford Lee Kauffman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Eva Ln, Stockbridge, GA 30281 Phone: 770-957-6702 | |
Vera Lafosse, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Southcrest Dr Ste 200, Stockbridge, GA 30281 Phone: 770-474-5302 Fax: 770-474-1275 | |
Dr. Jeffrey A Lamp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855 Fax: 770-474-8078 | |
Peter Chinedu Nwaizuzu, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3750 N Henry Blvd, Stockbridge, GA 30281 Phone: 678-379-7190 Fax: 202-207-3732 |