P Praxis·MD
● Active Type 1 · Individual

Keith Bradley Pennycook, DO

Dermatology·Cumming, GA· NPI 1821651944 · Enumerated 2019 · 7 years on NPI
Pennycook is 1 of 12 dermatology providers in Cumming and 1 of 483 in Georgia.
NPI age
7 years
Enumerated 2019-04-15
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
2870 Ronald Reagan Blvd Ste 103
Cumming, GA 300416092
📞 2486014900
Mailing address
2870 Ronald Reagan Blvd Ste 103
Cumming, GA 300416092

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #86267 taxonomy 207N00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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