SHAZZANNE KAHELIA PENNANT MD
NPI 1235711185
Family Medicine in Conyers, GA
About Shazzanne Kahelia Pennant Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAZZANNE KAHELIA PENNANT MD (NPI 1235711185) is an individual family medicine provider in Conyers, Georgia, licensed in Georgia (100160) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Howard University College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Shazzanne Kahelia Pennant 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.
Medicare Billing Reassignment
Medicare enrollment records show Shazzanne Pennant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Conyers, GA 30013
- Reassigned Medicare billing, Georgia enrollment
- 132 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 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Newton Hospital
Acute Care Hospitals · Covington, GAPiedmont Rockdale Hospital
Acute Care Hospitals · Conyers, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CONYERS, GA 30013
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 Shazzanne Pennant's NPI number?
The NPI number for Shazzanne Pennant is 1235711185. It was assigned to this individual provider in the NPPES registry on April 21, 2021.
Where is Shazzanne Pennant located?
Shazzanne Pennant practices at 1101 Nortec Dr SE, Conyers, GA 30013. The listed phone number is (678) 374-7514.
What is Shazzanne Pennant's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shazzanne Pennant enrolled in Medicare?
Yes. Shazzanne Pennant 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 organization bills Medicare for Shazzanne Pennant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shazzanne Pennant reassigns Medicare benefits to Aylo Health, LLC (Conyers, GA). The 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 Shazzanne Pennant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shazzanne Pennant accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shazzanne Pennant 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 Shazzanne Pennant affiliated with any hospitals?
According to CMS data, Shazzanne Pennant is affiliated with Piedmont Newton Hospital and Piedmont Rockdale Hospital.
When was this NPI record last updated?
The NPPES record for Shazzanne Pennant was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shazzanne Kahelia Pennant, MD · NPI 1235711185
Family Medicine physician in Conyers, Georgia. Individual provider, active in the CMS NPPES registry since April 21, 2021.
## Identity
- **NPI:** 1235711185 (Entity type: Individual)
- **Enumerated:** April 21, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 100160 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 NORTEC DR SE, Conyers, GA 30013-5835
- **Phone:** (678) 374-7514
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aylo Health, LLC (NPI 1144483744, Conyers, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** June 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235711185) · Data from the CMS NPPES public registry.