JOHN MARSHALL JENKINS PHD LLC
NPI 1720672645
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rome, GA
About John Marshall Jenkins Phd Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MARSHALL JENKINS PHD LLC (NPI 1720672645) is a healthcare organization registered as a mental health (including community mental health center) in Rome, Georgia and active in the NPI registry since February 2021. The organization lists John Marshall Jenkins, Licensed Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Marshall Jenkins Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to John Marshall Jenkins Phd LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 John Marshall Jenkins Phd LLC's NPI number?
The NPI number for John Marshall Jenkins Phd LLC is 1720672645. It was assigned to this organization in the NPPES registry on February 22, 2021.
Where is John Marshall Jenkins Phd LLC located?
John Marshall Jenkins Phd LLC is located at 504 Riverside Pkwy NE Ste 110, Rome, GA 30161. The listed phone number is (706) 766-1937.
What is John Marshall Jenkins Phd LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is John Marshall Jenkins Phd LLC enrolled in Medicare?
Yes. John Marshall Jenkins Phd LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John Marshall Jenkins Phd LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to John Marshall Jenkins Phd LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does John Marshall Jenkins Phd LLC accept?
Health plans from Alliant Health Plans, Inc. list John Marshall Jenkins Phd LLC 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.
When was this NPI record last updated?
The NPPES record for John Marshall Jenkins Phd LLC was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John Marshall Jenkins Phd Llc · NPI 1720672645
Mental Health (Including Community Mental Health Center) organization in Rome, Georgia. Organization record, active in the CMS NPPES registry since February 22, 2021.
## Identity
- **NPI:** 1720672645 (Entity type: Organization)
- **Enumerated:** February 22, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** John Jenkins, LICENSED PSYCHOLOGIST
## Practice location
- **Address:** 504 RIVERSIDE PKWY NE STE 110, Rome, GA 30161-2981
- **Phone:** (706) 766-1937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2021
- **Other identifiers:** Other PSY001194 (GA); Other 1861443921
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Source: [NPI Profile](https://npiprofile.com/npi/1720672645) · Data from the CMS NPPES public registry.