P Praxis·MD
● Active Type 1 · Individual

Loni Elise Jenkins, MD

Family Medicine·Stockbridge, GA· NPI 1053515338 · Enumerated 2007 · 18 years on NPI
Jenkins is 1 of 45 family medicine providers in Stockbridge and 1 of 5448 in Georgia.
NPI age
18 years
Enumerated 2007-06-12
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
3579 Highway 138 Se, Suite 101
Stockbridge, GA 302814142
📞 7705070029fax 7705079990
Mailing address
1065 Jodeco Rd
Stockbridge, GA 302814953
📞 6782846300fax 6782846282

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #063358NC license #141367 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (NC) 141367 RESIDENT TRAINING LICENSE
05 (GA) 806901621A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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