JOHN PENUEL M.D. NPI 1285633842

NPI Information

NPI: 1285633842
Provider Name: JOHN PENUEL, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
821 N COBB ST
MILLEDGEVILLE, GA
ZIP 31061
Phone: (478) 452-0524
Get Directions

John Penuel, M.D. is a diagnostic radiology radiology in Milledgeville, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John Penuel, M.D. NPI is 1285633842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

821 N COBB ST
MILLEDGEVILLE, GA
ZIP 31061-343
Phone: (478) 452-0524
Fax: (478) 452-0525

The NPI 1285633842 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 enumeration date for this NPI number is 7/18/2005 and was last updated on 3/7/2023.

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
1	174400000X	Specialist		9900983	NORTH CAROLINA	No
2	2085R0202X	Radiology	Diagnostic Radiology	048926	GEORGIA	Yes

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
1	00926483D	MEDICAID	GEORGIA
2	048926	OTHER	GEORGIA	LICENSE
3	581593676	OTHER	GEORGIA	TAX IDENTIFICATION
4	P00991552	OTHER	GEORGIA	RR MEDICARE

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

NPI Synchronization or Removal

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