MEDICARE: DR. TERRANCE C JENKINS MD, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	110620	GA

General Provider Information

NPI Number	:	1740984228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRANCE C JENKINS MD, MS

Provider Business Mailing Address
First Line	:	720 WESTVIEW DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-1458
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 WESTVIEW DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-1458
Country	:	US
Telephone Number	:	404-756-1451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	12/11/2025

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