P Praxis·MD
● Active Type 1 · Individual

MR. Charles Royce Pennington, M.D.

Family Medicine·Dillard, GA· NPI 1669589594 · Enumerated 2006 · 19 years on NPI
Pennington is 1 of 2 family medicine providers in Dillard and 1 of 5448 in Georgia.
NPI age
19 years
Enumerated 2006-08-24
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-24
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
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
92 Bettys Creek Rd
Dillard, GA 305372257
📞 7067466571fax 7067465643
Mailing address
Po Box 444
Dillard, GA 305370444
📞 7067466571fax 7067465643

Specialties

  • Family Medicine Primary
    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...
    GA license #025380 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (GA) 000273831G
05 (GA) 000649822A
01 (GA) 1134316219 R H FACILITY

Practice context

Part of a multi-provider practice. 4 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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