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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAROLINE GRACE PENNINGTON
NPI 1730074725
Physician Assistant in Lake Wylie, SC

Active since June 10, 2025
4573 ISLAND FORKS RD, LAKE WYLIE, SC 29710(704) 860-2142 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2026, Jun 10, 2025 (2 updates tracked since 2025).

About Caroline Grace Pennington NPPES

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

CAROLINE GRACE PENNINGTON (NPI 1730074725) is an individual physician assistant in Lake Wylie, South Carolina and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1730074725
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLINE GRACE PENNINGTON
Location Address4573 ISLAND FORKS RDLake Wylie, SC 29710-8040
Mailing Address4573 Island Forks RdLake Wylie, SC 29710-8040
Phone(704) 860-2142
Sole ProprietorNo
Enumeration DateJune 10, 2025
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1730074725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4573 ISLAND FORKS RD, Lake Wylie, SC 29710
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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 Caroline Pennington's NPI number?

The NPI number for Caroline Pennington is 1730074725. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Caroline Pennington located?

Caroline Pennington practices at 4573 Island Forks Rd, Lake Wylie, SC 29710. The listed phone number is (704) 860-2142.

What is Caroline Pennington's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Caroline Pennington was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.