IndividualActive
Latrina Jenkins
NPI 1902495880 · Prosthetic/Orthotic Supplier · Augusta, GA
Provider details
- NPI number
- 1902495880
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCB20190001116 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
116 Shartom Dr
Augusta, GA 30907-4748
Phone: (706) 294-9434
Fax: (651) 800-9979
Street-level locationGet directions
Mailing address
116 Shartom Dr
Augusta, GA 30907-4748
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-14
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.