DR. JACK WAYNE PENNINGTON M.D.
NPI 1871676627
Specialist in Blairsville, GA

Q: What is Jack Pennington's NPI number?

The NPI number for Jack Pennington is 1871676627. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Jack Pennington's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Pennington was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 23, 2006

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

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jack Wayne Pennington M.d. NPPES

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

DR. JACK WAYNE PENNINGTON M.D. (NPI 1871676627) is an individual specialist in Blairsville, Georgia, licensed in Georgia (015212) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1871676627

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. JACK WAYNE PENNINGTONCredential: M.D.

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

Sole ProprietorYes

Enumeration DateOctober 23, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1871676627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 015212

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.

207 HOSPITAL CIR, Blairsville, GA 30512

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Other Identifiers 2

Medicare ID-Type UnspecifiedGRP6024GA

Medicare UPINC20382GA

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

JACK W PENNINGTON MD LLC

Clinic/Center

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 Pennington's NPI number?

The NPI number for Jack Pennington is 1871676627. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jack Pennington located?

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

What is Jack Pennington's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Pennington was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.