P Praxis·MD
● Active Type 1 · Individual

John Penuel, M.D.

Radiology·Milledgeville, GA· NPI 1285633842 · Enumerated 2005 · 20 years on NPI
Penuel is 1 of 5 radiology providers in Milledgeville and 1 of 1280 in Georgia.
NPI age
20 years
Enumerated 2005-07-18
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
821 N Cobb St
Milledgeville, GA 310612343
📞 4784520524fax 4784520525
Mailing address
1854 Shackleford Ct, Suite 350
Norcross, GA 300932954
📞 7706883801fax 7702376148

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #048926 taxonomy 2085R0202X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    NC license #9900983 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 00926483D
01 (GA) 048926 LICENSE
01 (GA) 581593676 TAX IDENTIFICATION
01 (GA) P00991552 RR MEDICARE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 60 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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