NPIMap

Individual provider Active NPI

Kerry Franklin Pennington, M.D.

  • Family Medicine Physician
  • Warren, AR
National Provider Identifier
1013983873
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5438 Issued in 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
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C5438 AR Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kerry.pennington@mhsi.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000950 AR Practitioner - Family Practice 2163499450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 5193785590, 55 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions16
Removal or shaving of skin growth1-10
Skin biopsy25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C5438ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current Accepting new patients
Mainline Health Systems Inc CurrentSince Jan 2, 2020 Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Sep 1, 2011 Accepting new patients
Arkansas Health Group CurrentSince Sep 1, 2011 Accepting new patients
Mainline Health Systems, Inc CurrentSince Jan 2, 2020 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

342 Highway 425 S
Monticello, AR 71655
Phone (870) 723-4145

535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246

1012 E Church St
Ste A
Warren, AR 71671
Phone (870) 226-7925

1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-4302

Interoperability endpoints

  • Direct secure messaging: kerry.pennington@mhsi.eclinicaldirectplus.com

Organizations & group practices 6

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1013983873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E CHURCH ST",
            "address_2": "SUITE A",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713509",
            "telephone_number": "870-226-6754",
            "fax_number": "870-226-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "KERRY",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kerry.pennington@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1012 E Church St",
            "address_2": "Suite A",
            "city": "Warren",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716713509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.