Dr Jack Osborne Jenkins, PHD - Psychologist in Carrollton, GA

Dr Jack Osborne Jenkins, PHD is a Psychologist - Cognitive & Behavioral based in Carrollton, Georgia. Dr Jack Osborne Jenkins is licensed to practice in Georgia (license number PSY000651) and his current practice location is 415 Dixie St, Carrollton, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 230-2046.

NPI number for Dr Jack Osborne Jenkins is 1639369515 and his current mailing address is 303 Old Camp Church Rd, Carrollton, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639369515.

Contact Information

Dr Jack Osborne Jenkins, PHD
415 Dixie St,
Carrollton, GA 30117-3921
(678) 230-2046
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jack Osborne Jenkins
GenderMale
SpecialityPsychologist - Cognitive & Behavioral
Location415 Dixie St, Carrollton, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639369515
  • Provider Enumeration Date: 07/27/2007
  • Last Update Date: 07/27/2007

Medical Identifiers

Medical identifiers for Dr Jack Osborne Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639369515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral PSY000651 (Georgia)Primary

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. Dr Jack Osborne Jenkins is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack Osborne Jenkins, PHD
303 Old Camp Church Rd,
Carrollton, GA 30117-8207

Ph: (678) 230-2046
Dr Jack Osborne Jenkins, PHD
415 Dixie St,
Carrollton, GA 30117-3921

Ph: (678) 230-2046

Reviews and Comments


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