Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANTRELLA PENSON NP
NPI 1720991250
Nurse Practitioner - Family in Mcdonough, GA

Q: What is Shantrella Penson's NPI number?

The NPI number for Shantrella Penson is 1720991250. It was assigned to this individual provider in the NPPES registry on September 25, 2026.

Q: What is Shantrella Penson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shantrella Penson was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 25, 2026

325 HUNTINGTON PL CT, MCDONOUGH, GA 30253(678) 782-6920 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Shantrella Penson Np NPPES

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

SHANTRELLA PENSON NP (NPI 1720991250) is an individual family provider in Mcdonough, Georgia, licensed in Georgia (NP289400) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1720991250

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANTRELLA PENSONCredential: NP

Location Address325 HUNTINGTON PL CTMcdonough, GA 30253

Mailing Address885 Hall StMacon, GA 31217-6456 · (478) 538-2440

Phone(678) 782-6920

Sole ProprietorYes

Enumeration DateSeptember 25, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1720991250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · NP289400

325 HUNTINGTON PL CT, Mcdonough, GA 30253

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Shantrella Penson's NPI number?

The NPI number for Shantrella Penson is 1720991250. It was assigned to this individual provider in the NPPES registry on September 25, 2026.

Where is Shantrella Penson located?

Shantrella Penson practices at 325 Huntington Pl Ct, Mcdonough, GA 30253. The listed phone number is (678) 782-6920.

What is Shantrella Penson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shantrella Penson was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.