Individual provider Active NPI

Christopher Pennington, FNP-C

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1043670722
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901341 Issued in MS
Practice address
114 N Lehmberg Rd
Columbus, MS 39702-5554
Phone
(662) 329-2955
NPI assigned
Feb 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901341 MS Primary

Addresses

Primary practice location

114 N Lehmberg Rd
Columbus, MS 39702-5554

Mailing address

114 N Lehmberg Rd
Columbus, MS 39702-5554
Phone (662) 329-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180807001473 MS Practitioner - Nurse Practitioner 8628326741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friendship Medical Clinic LLCGroup PAC ID 0648275024, 9 clinicians

Practice addresses (Care Compare)

4127 W Main St
Tupelo, MS 38801-8129
Phone (662) 269-3191

509 State Hwy 15 S
New Albany, MS 38652-4502
Phone (662) 534-4330

5482 Hwy 15 N
Ecru, MS 38841-8471
Phone (662) 488-8799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Friendship Medical Clinic, LLC CurrentSince Nov 16, 2024 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Jul 1, 2018 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jul 1, 2018 Accepting new patients
Children's Health Center of Columbus, Inc. Family PastSince Sep 14, 2025 Accepting new patients
Children's Health Center of Columbus, Inc. Past Accepting new patients

Locations

5482 Highway 15 N
Ecru, MS 38841
Phone (662) 256-9730

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGAACA/Endpoint/DGAACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGAACA
  • FHIR API: https://api.platform.athenahealth.com/18494/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1043670722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N LEHMBERG RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025554",
            "telephone_number": "662-329-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N LEHMBERG RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025554",
            "telephone_number": "662-329-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "CHRISTOPHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.