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Rebecca A Jenkins, DO

Family Medicine in Johnson City, TN. Individual provider (NPI-1).

NPI number1164059085
StatusActive
Last updated in NPPESJan 27, 2026

Details

NPI
1164059085
Entity type
Individual (NPI-1)
Name
Rebecca A Jenkins
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2020
Certification date
Jan 27, 2026
Last updated
Jan 27, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5105TNYes
390200000X Student in an Organized Health Care Education/Training Program5105TN

Practice location

1021 W Oakland Ave Ste 301a
Johnson City, TN 37604-2192

Phone 423-952-8008 · Fax 423-952-8009

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Phone 423-952-2111

Other practice locations

102 E Ravine Rd
Kingsport, TN 37660-3814

Phone 423-245-9600

444 Clinchfield St Ste 2500
Kingsport, TN 37660-3858

Phone 423-230-2500 · Fax 423-239-7502

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Johnson City, TN

All 131 Family Medicine Physician providers in Johnson City · All 4,629 providers in Johnson City

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