Patricia Pena, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006376 Issued in GA

Practice address

4799 Sugarloaf Pkwy
Ste L
Lawrenceville, GA 30044-8836

Phone

(770) 513-1005

Fax

(770) 513-0570

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• FL HMO D-SNP
• FL HMO C-SNP
• AL HMO
• AL HMO D-SNP
• TN PPO
• FL HMO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• TN PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Specific Chiropractic, Inc.

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1982729380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1003843293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4799 SUGARLOAF PKWY",
            "address_2": "STE L",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448836",
            "telephone_number": "770-513-1005",
            "fax_number": "770-513-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4799 SUGARLOAF PKWY",
            "address_2": "STE L",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448836",
            "telephone_number": "770-513-1005",
            "fax_number": "770-513-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Pefanis
• Peggy J. Mayfield PHD Abap PC
• Clayton Pelham Jr.
• Cassandra Pelissier
• Susan Allison Pellettieri
• Nedra Penland, LPC
• Don William Penney, MD
• Joseph Richard Perez, D.O.
• Robert William Perez
• Perimeter Health and Wellness Clinic LLC

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.