DR. CHARLOTTE CLARK PENTER MD
NPI 1164370375
Student in an Organized Health Care Education/Training Program in Savannah, GA
About Dr. Charlotte Clark Penter Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLOTTE CLARK PENTER MD (NPI 1164370375) is an individual student in an organized health care education/training program in Savannah, Georgia and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Charlotte Clark Penter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
SAVANNAH, GA 31404
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 Charlotte Penter's NPI number?
The NPI number for Charlotte Penter is 1164370375. It was assigned to this individual provider in the NPPES registry on March 21, 2026. The provider is also known as Dr. Charlotte Grace Clark MD.
Where is Charlotte Penter located?
Charlotte Penter practices at 4700 Waters Ave, Savannah, GA 31404. The listed phone number is (912) 350-3595.
What is Charlotte Penter's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Charlotte Penter enrolled in Medicare?
Yes. Charlotte Penter is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Charlotte Penter was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Dr. Charlotte Clark Penter, MD · NPI 1164370375
Student in an Organized Health Care Education/Training Program provider in Savannah, Georgia. Individual provider, active in the CMS NPPES registry since March 21, 2026.
## Identity
- **NPI:** 1164370375 (Entity type: Individual)
- **Enumerated:** March 21, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 WATERS AVE, Savannah, GA 31404-6220
- **Phone:** (912) 350-3595
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164370375) · Data from the CMS NPPES public registry.