NPI age
20 years
Enumerated 2006-01-04
● Active
Type 1 · Individual
DR. Michele Lee Pennington, MD
Pennington is 1 of 15 family medicine providers in Eastman and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2010-09-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
817 Griffin Ave
Eastman, GA 310236718
Mailing address
817 Griffin Ave
Eastman, GA 310236718
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 0801975377 | RAILROAD MEDICARE |
| 01 (MI) | 0806346602 | BCBS |
| 05 (GA) | 166083196D | |
| 01 (GA) | 202I082364 | MEDICARE (PTAN) |
| 05 (MI) | 1093793622 | |
| 01 (MI) | 0806346602 | BCN |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.