DR. MICHELE LEE PENNINGTON MD
NPI 1093793622
Family Medicine in Eastman, GA

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
817 GRIFFIN AVE, EASTMAN, GA 31023(478) 374-0020(478) 374-2937 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michele Lee Pennington Md NPPES

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

DR. MICHELE LEE PENNINGTON MD (NPI 1093793622) is an individual family medicine provider in Eastman, Georgia, licensed in Georgia (063003) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1093793622
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHELE LEE PENNINGTONCredential: MD
Location Address817 GRIFFIN AVEEastman, GA 31023-6718
Mailing Address817 Griffin AveEastman, GA 31023-6718 · (478) 374-0020 · Fax (478) 374-2937
Fax(478) 374-2937
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateJanuary 4, 2006
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1093793622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 063003✔ Licensed in MI · 4301070192
Definition
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 family medicine is not limited by age, sex, organ system, or disease entity.
817 GRIFFIN AVE, Eastman, GA 31023

Other Identifiers 8

Medicaid166083196DGA
Medicare PINN57500001MI
Other202I082364GA · Medicare (ptan)
Other0806346602MI · Bcbs
Other0801975377MI · Railroad Medicare
Medicare UPINH20427MI
Medicaid1093793622MI
Other0806346602MI · Bcn

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michele Lee Pennington 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 ID8426150210
PECOS Enrollment IDI20091028000466
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Michele Pennington reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1120 MORNINGSIDE DR
Perry, GA 31069
  • Reassigned Medicare billing, Georgia enrollment
  • 61 clinicians in this Medicare group
General Practice
6509 GATEWAY RD
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
Primary Care
2544 ENTERPRISE DR
Opelika, AL 36801
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
Urgent Care
3481 ERNEST BARRETT PKWY
Marietta, GA 30064
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
Primary Care
26 BATTLEFIELD PKWY
Ft. Oglethorpe, GA 30742
  • Reassigned Medicare billing, Georgia enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
333 services272 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
150 services18 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
112 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services70 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
51 services37 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
48 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
817 GRIFFIN AVE
EASTMAN, GA 31023
Clinic/Center (Federally Qualified Health Center (FQHC))
817 GRIFFIN AVE
EASTMAN, GA 31023
Nurse Practitioner (Family)
817 GRIFFIN AVE
EASTMAN, GA 31023
Nurse Practitioner (Family)
817 GRIFFIN AVE
EASTMAN, GA 31023
Nurse Practitioner (Family)
817 GRIFFIN AVE
EASTMAN, GA 31023
Nurse Practitioner (Family)
817 GRIFFIN AVE
EASTMAN, GA 31023
Nurse Practitioner (Family)
817 GRIFFIN AVE
EASTMAN, GA 31023
Nurse Practitioner (Family)
817 GRIFFIN AVE
EASTMAN, GA 31023

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 Michele Pennington's NPI number?

The NPI number for Michele Pennington is 1093793622. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Michele Pennington located?

Michele Pennington practices at 817 Griffin Ave, Eastman, GA 31023. The listed phone number is (478) 374-0020.

What is Michele Pennington's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michele Pennington enrolled in Medicare?

Yes. Michele Pennington 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.

Which organizations bill Medicare for Michele Pennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Pennington reassigns Medicare benefits to 5 organizations: Houston Hospitals Inc (Perry, GA), AFC Physicians Of Georgia, PC (Columbus, GA), American Family Care, LLC (Opelika, AL), AFC Physicians Of Georgia Urgent Care, PC (Marietta, GA) and AFC Physicians Of Georgia Primary Care, PC (Ft. Oglethorpe, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michele Pennington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michele Pennington accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michele Pennington 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.

When was this NPI record last updated?

The NPPES record for Michele Pennington was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.