Kerry Franklin Pennington, M.D.
Individual provider Active NPI Family Medicine Physician · Warren, AR
NPI 1013983873 · NPPES record last updated Mar 26, 2026
Key facts
- NPI
- 1013983873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C5438 (AR)
- Practice address
- 1012 E Church St
Suite a
Warren, AR 71671-3509 - Phone
- (870) 226-6754
- Fax
- (870) 226-7925
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainline Health Systems Inc
Practice addresses (Care Compare)
1012 E Church St
Suite B
Warren, AR 71671-3530
Phone (870) 226-6754
210 Scoby Dr
Warren, AR 71671-2050
Phone (870) 226-6786
212 Scoby Dr
Warren, AR 71671-2050
Phone (870) 226-6786
535 Jordan Dr
Monticello, AR 71655-5714
Phone (870) 367-6246
579 E Beouff St
Eudora, AR 71640-3090
Phone (870) 355-2512
Hospital & facility affiliations
- Bradley County Medical Center Home Health Agency
- Baptist Health Home Health Network-Drew County
- Kindred at Home
- Elite Home Health
- Bradley County Medical Center
- Baptist Health Medical Center-Drew County
- Baptist Health Medical Center-Little Rock
- Jefferson Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 16 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 25 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040915000950 | AR | Practitioner - Family Practice | 2163499450 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5438 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainline Health Systems Inc | Current |
Accepting new patients | |
| Arkansas Health Group | Family Medicine | Current |
Accepting new patients |
| Mainline Health Systems, Inc | Current | Accepting new patients | |
| Arkansas Health Group | Current |
Accepting new patients | |
| Mainline Health Systems, Inc | Current |
Accepting new patients |
Locations
300 S School St
Dermott, AR 71638
Phone (870) 538-3355
579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246
342 Highway 425 S
Monticello, AR 71655
Phone (870) 723-4145
1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-4302
1012 E Church St
Ste A
Warren, AR 71671
Phone (870) 226-7925
Interoperability endpoints
- kerry.pennington@mhsi.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C5438 | AR | Yes |
Addresses
Primary practice location
1012 E Church St
Suite a
Warren, AR 71671-3509
Mailing address
342 Highway 425 S
Monticello, AR 71655-4612
Phone (870) 942-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432635 | Other | AR | HEALTHLINK |
| 101336001 | Medicaid | AR | |
| 12791000000 | Other | AR | QUALCHOICE PROVIDER # |
| 710554390 | Other | AR | UNITED HEALTHCARE |
| 54011 | Other | AR | BCBS PROVIDER # |
| 5733222 | Other | AR | AETNA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kerry.pennington@mhsi.eclinicaldirectplus.com |
Other providers in Warren, AR
- Ralph Edward O'Neal
- Tonya Orr
- Melissa Ann Overton
- April Peek
- Amanda Pennington
- Precious Jewels Birthing Project Inc
- Kenneth W Purvis
- Wendy Michelle Ray
- Heath A Reep
- Renal Treatment Centers-Southeast, LP.
All providers in Warren, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.