TIMOTHY MARK JENKINS (PAC) – Physician Assistant, NPI 1891769972

TIMOTHY MARK JENKINS (PAC) is a healthcare provider. based in Chattanooga, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 00458 (TN). The NPI Number for TIMOTHY MARK JENKINS (PAC) is 1891769972

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY MARK JENKINS (PAC)
NPI
1891769972
Phone
(423) 892-2221
Address
961 SPRING CREEK RD
Enumeration Date
15 February 2006
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8659383627
Graduation Year
1994 (32 years ago)
PAC ID
9830190560
Group Practice PAC ID
2860396330
Professional Enrollment ID
I20070124000282
Address ID
TN378494016PO201XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for TIMOTHY MARK JENKINS (PAC)

  • 961, Spring Creek Road, East Ridge, Hamilton County, Tennessee, 37412, United States

    CHATTANOOGA, TN 374123959

    Phone: (423) 892-2221

    Fax: (423) 490-3407

    Type: Location

  • 1275 DICK LONAS RD UNIT 101

    KNOXVILLE, TN 379091383

    Phone: (865) 584-4747

    Fax: (865) 381-1509

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $2,036.

Total Amount is formed as General ($2,036) + Research ($0) + Ownership ($0) = $2,036.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novo Nordisk Inc ($669).

Total Amount

$2,036

General + Research + Ownership

Payments

113

Total payment records

General Amount

$2,036

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-01-24

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
I20070124000282IPhysician AssistantTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37412)

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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: 2860396330View full group profile

Reviews

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Frequently asked questions

Does TIMOTHY MARK JENKINS (PAC) have a public NPI I can cite?
Public records show TIMOTHY MARK JENKINS (PAC) under NPI 1891769972.
Should I treat TIMOTHY MARK JENKINS (PAC) as an active provider?
Patients and plans typically see TIMOTHY MARK JENKINS (PAC) as active in the national extract.
What services align with TIMOTHY MARK JENKINS (PAC)'s listing?
TIMOTHY MARK JENKINS (PAC)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to TIMOTHY MARK JENKINS (PAC)?
TIMOTHY MARK JENKINS (PAC) shows a connection to Chattanooga, Tennessee in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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