P Praxis·MD
● Active Type 1 · Individual

DR. Jack Osborne Jenkins, PH.D.

Psychologist·Carrollton, GA· NPI 1639369515 · Enumerated 2007 · 18 years on NPI
Jenkins is 1 of 1 psychologist providers in Carrollton and 1 of 48 in Georgia.
NPI age
18 years
Enumerated 2007-07-27
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 48 active psychologist providers in Georgia.

NPI age
18 years
↑ 1 yr above median (16 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
415 Dixie St
Carrollton, GA 301173921
📞 6782302046
Mailing address
303 Old Camp Church Rd
Carrollton, GA 301178207
📞 6782302046

Specialties

  • Psychologist Primary
    A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
    GA license #PSY000651 taxonomy 103TB0200X

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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