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DR. MICHELE LEE PENNINGTON MD NPI 1093793622


NPI Information

NPI: 1093793622
Provider Name: DR. MICHELE LEE PENNINGTON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
817 GRIFFIN AVE
EASTMAN, GA
ZIP 31023
Phone: (478) 374-0020
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DR. Michele Lee Pennington, MD is a family medicine in Eastman, GA with 27 years of experience. The provider is 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 family medicine is not limited by age, sex, organ system, or disease entity. DR. Michele Lee Pennington, MD NPI is 1093793622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

817 GRIFFIN AVE
EASTMAN, GA
ZIP 31023-718
Phone: (478) 374-0020
Fax: (478) 374-2937

The NPI 1093793622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Urinalysis, manual test (HCPCS:81002)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 1/4/2006 and was last updated on 9/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301070192MICHIGANNo
2207Q00000XFamily Medicine063003GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1166083196DMEDICAIDGEORGIA
2N57500001MEDICARE PINMICHIGAN
3202I082364OTHERGEORGIAMEDICARE (PTAN)
40806346602OTHERMICHIGANBCBS
50801975377OTHERMICHIGANRAILROAD MEDICARE
6H20427MEDICARE UPINMICHIGAN
71093793622MEDICAIDMICHIGAN
80806346602OTHERMICHIGANBCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.