DR. MACK ADAM JENKINS (M.D.) – Emergency Medicine Physician, NPI 1679534309

DR. MACK ADAM JENKINS (M.D.) is a healthcare provider. based in Tullahoma, Tennessee. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2005-00517 (NC). The NPI Number for DR. MACK ADAM JENKINS (M.D.) is 1679534309

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MACK ADAM JENKINS (M.D.)
NPI
1679534309
Phone
(615) 875-6415
Address
1801 N Jackson St
Enumeration Date
31 March 2006
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
9316855433
Graduation Year
2003 (23 years ago)
PAC ID
9234175225
Group Practice PAC ID
7012817919
Professional Enrollment ID
I20090820000922
Address ID
TN371607327SH2835XNXXX400

Contacts

Secure Messaging
mjenkins815656@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,131 EMERGENCY MEDICINE in TN

Provider Addresses for DR. MACK ADAM JENKINS (M.D.)

  • 1801 N Jackson St

    Tullahoma, TN 373882201

    Phone: (615) 875-6415

    Type: Location

  • 2835 Highway 231 N

    Shelbyville, TN 371607327

    Phone: (615) 875-6415

    Type: Location

  • 1411 W Baddour Pkwy

    Lebanon, TN 370872513

    Phone: (615) 875-6415

    Type: Location

  • 5655 Frist Blvd

    Hermitage, TN 370762053

    Phone: (615) 316-3150

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone: (615) 322-6842

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372322053

    Phone: (615) 322-5000

    Type: Location

  • TriStar Summit Medical Center, 5655, Frist Boulevard, Travis, Nashville, Davidson County, Tennessee, 37076, United States

    HERMITAGE, TN 370762053

    Phone: (615) 316-3150

    Fax: (931) 552-6663

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090820000922IEmergency MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making196184$0
99284Emergency department visit with moderate level of medical decision making8785$0
99291Critical care, first 30-74 minutes4241$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 37388)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012817919View full group profile
NameSpecialtyState
Emergency MedicineNM
Emergency MedicineMA
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineTN
Emergency Medicine, AnesthesiologyTN
Emergency MedicineTN
Physician AssistantIL
Pediatric MedicineTN

Reviews

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Frequently asked questions

What is the registry number for DR. MACK ADAM JENKINS (M.D.)?
The registry entry for DR. MACK ADAM JENKINS (M.D.) shows NPI 1679534309.
Quick check: is DR. MACK ADAM JENKINS (M.D.) active?
Public NPPES data shows DR. MACK ADAM JENKINS (M.D.) with an active NPI status right now.
What services align with DR. MACK ADAM JENKINS (M.D.)'s listing?
DR. MACK ADAM JENKINS (M.D.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MACK ADAM JENKINS (M.D.) tied to Tullahoma, Tennessee?
If you are local to Tullahoma, Tennessee, DR. MACK ADAM JENKINS (M.D.) may be relevant to your search.
Who maintains DR. MACK ADAM JENKINS (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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