JOHN MARSHALL JENKINS PHD LLC NPI 1720672645

NPI Information

NPI: 1720672645
Provider Name: JOHN MARSHALL JENKINS PHD LLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 504 RIVERSIDE PKWY NE STE 110
ROME, GA
ZIP 30161
Phone: (706) 766-1937

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NPI Details

JOHN MARSHALL JENKINS PHD LLC is a mental health (including community mental health center) clinic center in Rome, GA. JOHN MARSHALL JENKINS PHD LLC NPI is 1720672645. The provider is registered as an organization entity type.

The provider's business location address is:

504 RIVERSIDE PKWY NE STE 110
ROME, GA
ZIP 30161-981
Phone: (706) 766-1937

The provider's authorized official is John Marshall Jenkins .
The authorized official title is Licensed Psychologist and has the following contact phone number (706) 766-1937.

The enumeration date for this NPI number is 2/22/2021 and was last updated on 12/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PSY001194	OTHER	GEORGIA	GEORGIA PSYCHOLOGIST LICENSE
2	1861443921	OTHER		NPPES INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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