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EDWARD BENJAMIN PENN JR. MD
NPI 1053474163
Otolaryngology - Pediatric Otolaryngology in Greenville, SC

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
200 PATEWOOD DR STE B400, GREENVILLE, SC 29615(864) 522-8603 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2026, Aug 18, 2023, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Edward Benjamin Penn Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD BENJAMIN PENN JR. MD (NPI 1053474163) is an individual pediatric otolaryngology provider in Greenville, South Carolina, licensed in South Carolina (51723) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2006).

NPPES Registry Identity

NPI1053474163
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameEDWARD BENJAMIN PENN JR.Credential: MD
Location Address200 PATEWOOD DR STE B400Greenville, SC 29615-6306
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 522-8603
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2006
Enumeration DateDecember 19, 2006
Last NPPES UpdateJune 1, 20265 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1053474163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in SC · 51723
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
200 PATEWOOD DR STE B400, Greenville, SC 29615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward Benjamin Penn Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971759416
PECOS Enrollment IDI20171227000004
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA CAITLYN GILLEN PA-C
Physician Assistant
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
GUSTAVO GUIMARAES RANGEL
Otolaryngology (Pediatric Otolaryngology)
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
KEVIN CARLSON
Otolaryngology
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
DR. WESLEY MATTHEW ABADIE M.D.
Otolaryngology
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
MARK LANDRY MD
Otolaryngology
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
EMILY JANE CHAMBERLAIN AUD
Audiologist
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
MRS. LEANNE L. ALEWINE M.A., CCC-SLP
Speech-Language Pathologist
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368
ALLYSON BROOKE BERRY NP
Nurse Practitioner (Family)
200 PATEWOOD DR STE B400
GREENVILLE, SC 29615
Greenville County (864) 454-4368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Penn's NPI number?

The NPI number for Edward Penn is 1053474163. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Edward Penn located?

Edward Penn practices at 200 Patewood Dr Ste B400, Greenville, SC 29615. The listed phone number is (864) 522-8603.

What is Edward Penn's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Edward Penn enrolled in Medicare?

Yes. Edward Penn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Penn accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health list Edward Penn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Penn affiliated with any hospitals?

According to CMS data, Edward Penn is affiliated with Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edward Penn was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.