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DR. CONNIE JO PENNINGTON M.D.
NPI 1790783330
Specialist in Johnson City, TN

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
2306 KNOB CREEK RD, SUITE 100, JOHNSON CITY, TN 37604(423) 610-1177(423) 610-1179 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Connie Jo Pennington M.d. NPPES

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

DR. CONNIE JO PENNINGTON M.D. (NPI 1790783330) is an individual specialist in Johnson City, Tennessee, licensed in Tennessee (MD0000030358) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Eastern Virginia Medical School (1995).

NPPES Registry Identity

NPI1790783330
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. CONNIE JO PENNINGTONCredential: M.D.
Location Address2306 KNOB CREEK RD, SUITE 100Johnson City, TN 37604-2366
Mailing Address2306 Knob Creek Rd, Suite 100Johnson City, TN 37604-2366 · (423) 610-1177 · Fax (423) 610-1179
Phone(423) 610-1177
Fax(423) 610-1179
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1995
Enumeration DateJuly 8, 2005
Last NPPES UpdateMarch 6, 2013
✔ NPI 1790783330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD0000030358
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2306 KNOB CREEK RD, Johnson City, TN 37604
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Other Identifiers 5

Medicare ID-Type Unspecified3875906TN · Individual
Medicaid3370584TN
Medicare UPINH69589TN
Medicaid3875906TN
Medicare ID-Type Unspecified3370584TN · Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Connie Jo Pennington M.d. 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 ID2466538111
PECOS Enrollment IDI20080321000146
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.

Areas of Expertise CMS Part B claims 8

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 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.
332 services107 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.
36 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
23 services23 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
21 services14 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers17 claims340 services$4.63 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers11 claims220 services$5.68 avg. paid by Medicare
Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each A4422
DME-Orthotic Devices · category DF010N
1 supplier11 claims1,800 services$0.10 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers15 claims270 services$3.46 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers12 claims310 services$0.22 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims1,500 services$0.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

JAMES EMERSON SHEFFEY MD
Colon & Rectal Surgery
2306 KNOB CREEK RD, SUITE 100
JOHNSON CITY, TN 37604
Washington County (423) 610-1177
KNOB CREEK ORAL CLINIC
Clinic/Center (Oral and Maxillofacial Surgery)
2306 KNOB CREEK RD, SUITE 108
JOHNSON CITY, TN 37604
Washington County (423) 467-5009
SOUTHSIDE SENIOR CARE LLC
Optometrist
2306 KNOB CREEK RD
JOHNSON CITY, TN 37604
Washington County (423) 943-3079
TRUELIGHT EYE CARE, PLLC
Optometrist
2306 KNOB CREEK RD, #106
JOHNSON CITY, TN 37604
Washington County (423) 929-2020
DR. SAMUEL E COX O.D.
Optometrist
2306 KNOB CREEK RD, SUITE 106
JOHNSON CITY, TN 37604
Washington County (423) 929-2020

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 Connie Pennington's NPI number?

The NPI number for Connie Pennington is 1790783330. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Connie Pennington located?

Connie Pennington practices at 2306 Knob Creek Rd Suite 100, Johnson City, TN 37604. The listed phone number is (423) 610-1177.

What is Connie Pennington's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Connie Pennington enrolled in Medicare?

Yes. Connie 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.

Is Connie Pennington affiliated with any hospitals?

According to CMS data, Connie Pennington is affiliated with Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Connie Pennington was last updated on March 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.