BOLIVIA TRACI JENKINS MD
NPI 1275111304
Family Medicine in Gray, GA

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
1005 BOULDER DR, GRAY, GA 31032(478) 621-2072 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2024, Mar 30, 2021 (2 updates tracked since 2021).

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

NPI1275111304
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBOLIVIA TRACI JENKINSCredential: MD
Location Address1005 BOULDER DRGray, GA 31032-6141
Mailing Address1005 Boulder DrGray, GA 31032-6141 · (478) 621-2072
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2021
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1275111304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 99763
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1005 BOULDER DR, Gray, GA 31032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2961803093
PECOS Enrollment IDI20241219003640
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
99 services93 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
79 services51 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
18 services17 patients

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, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110165
Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
1005 BOULDER DR
GRAY, GA 31032
Nurse Practitioner (Family)
1005 BOULDER DR
GRAY, GA 31032
Nurse Practitioner
1005 BOULDER DR
GRAY, GA 31032
Nurse Practitioner (Family)
1005 BOULDER DR
GRAY, GA 31032
Nurse Practitioner (Family)
1005 BOULDER DR
GRAY, GA 31032
Nurse Practitioner (Family)
1005 BOULDER DR
GRAY, GA 31032
Nurse Practitioner
1005 BOULDER DR
GRAY, GA 31032
Nurse Practitioner (Family)
1005 BOULDER DR
GRAY, GA 31032

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.

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.