BOLIVIA TRACI JENKINS MD
NPI 1275111304
Family Medicine in Gray, GA
About Bolivia Traci Jenkins Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLIVIA TRACI JENKINS MD (NPI 1275111304) is an individual family medicine provider in Gray, Georgia, licensed in Georgia (99763) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bolivia Traci Jenkins Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Bolivia Traci Jenkins reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gray, GA 31032
- Reassigned Medicare billing, Georgia enrollment
- 72 clinicians in this Medicare group
Riverdale, GA 30274
- Reassigned Medicare billing, Georgia enrollment
- 111 clinicians in this Medicare group
Marietta, GA 30067
- Reassigned Medicare billing, Georgia enrollment
- 2 clinicians in this Medicare group
Cuthbert, GA 39840
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Navicent The Medical Center
Acute Care Hospitals · Macon, GAColiseum Medical Centers, LLC, Dba
Acute Care Hospitals · Macon, GASouthern Regional Medical Center
Acute Care Hospitals · Riverdale, GAPiedmont Newnan Hospital, Inc
Acute Care Hospitals · Newnan, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bolivia Traci Jenkins's NPI number?
The NPI number for Bolivia Traci Jenkins is 1275111304. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Bolivia Traci Jenkins located?
Bolivia Traci Jenkins practices at 1005 Boulder Dr, Gray, GA 31032. The listed phone number is (478) 621-2072.
What is Bolivia Traci Jenkins's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bolivia Traci Jenkins enrolled in Medicare?
Yes. Bolivia Traci Jenkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bolivia Traci Jenkins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bolivia Traci Jenkins reassigns Medicare benefits to 4 organizations: Community Primary Care Of Georgia LLC (Gray, GA), Southern Regional Physicians Management Group, LLC (Riverdale, GA), Hyox Medical Treatment Center, Inc (Marietta, GA) and Woundcure LLC (Cuthbert, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bolivia Traci Jenkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bolivia Traci Jenkins accept?
Health plans from Oscar Health list Bolivia Traci Jenkins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Bolivia Traci Jenkins affiliated with any hospitals?
According to CMS data, Bolivia Traci Jenkins is affiliated with Atrium Health Navicent The Medical Center, Coliseum Medical Centers, LLC, Dba, Southern Regional Medical Center and Piedmont Newnan Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Bolivia Traci Jenkins was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bolivia Traci Jenkins, MD · NPI 1275111304
Family Medicine physician in Gray, Georgia. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1275111304 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 99763 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1005 BOULDER DR, Gray, GA 31032-6141
- **Phone:** (478) 621-2072
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Community Primary Care Of Georgia LLC (NPI 1336492511, Gray, GA); Southern Regional Physicians Management Group, LLC (NPI 1043677271, Riverdale, GA); Hyox Medical Treatment Center, Inc (NPI 1770552739, Marietta, GA); Woundcure LLC (NPI 1376407148, Cuthbert, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275111304) · Data from the CMS NPPES public registry.