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JACK W PENNINGTON MD LLC
NPI 1851561492
Clinic/Center in Blairsville, GA

Active since March 11, 2008
207 HOSPITAL CIR, SUITE A, BLAIRSVILLE, GA 30512(706) 745-5758(706) 745-1211 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack W Pennington Md Llc NPPES

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

JACK W PENNINGTON MD LLC (NPI 1851561492) is a healthcare organization registered as a clinic/center in Blairsville, Georgia and active in the NPI registry since March 2008. The organization lists Jack W Pennington, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1851561492
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJACK W PENNINGTON MD LLC
Location Address207 HOSPITAL CIR, SUITE ABlairsville, GA 30512-3128
Mailing Address207 Hospital Cir, Suite ABlairsville, GA 30512-3128 · (706) 745-5758 · Fax (706) 745-1211
Phone(706) 745-5758
Fax(706) 745-1211
Organization SubpartNo
Authorized OfficialJack W PenningtonPhysician/owner · (706) 745-5758
Enumeration DateMarch 11, 2008
✔ NPI 1851561492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
207 HOSPITAL CIR, Blairsville, GA 30512
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Other Identifiers 3

Medicare UPINC20382
Medicaid89066U5NC
Medicare PINGRP6024GA

Other Providers at the Same Location NPPES 2

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

GEORGIA MOUNTAIN SURGICAL ASSOCIATES PC
Specialist
207 HOSPITAL CIR, SUITE A&B
BLAIRSVILLE, GA 30512
Union County (706) 781-6950
DR. JACK WAYNE PENNINGTON M.D.
Specialist
207 HOSPITAL CIR, SUITE A
BLAIRSVILLE, GA 30512
Union County (706) 745-5758

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 Jack W Pennington MD LLC's NPI number?

The NPI number for Jack W Pennington MD LLC is 1851561492. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Jack W Pennington MD LLC located?

Jack W Pennington MD LLC is located at 207 Hospital Cir Suite A, Blairsville, GA 30512. The listed phone number is (706) 745-5758.

What is Jack W Pennington MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jack W Pennington MD LLC was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.