Connettia Pemberton

Primary specialty

DriverTaxonomy code 172A00000X

License

045318498 Issued in GA

Practice address

2792 Jordan Ave
Macon, GA 31217-4918

Phone

(404) 852-9790

NPI assigned

Aug 29, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1184532301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 JORDAN AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312174918",
            "telephone_number": "404-852-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 JORDAN AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312174918",
            "telephone_number": "404-852-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "CONNETTIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "GA",
            "license": "045318498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Johnson Peed, AU.D.M
• Jacqueline Peed
• Ross T Peery, MS, LPC
• Sarah Peets, M.ED, BCBA
• Heather G Peltier, MD
• James Pendergrass, LMFT
• Daniel Eli Penn, M.D.
• Rebecca L Penney, BC-HIS
• Pentatonic Therapies, LLC
• Christina Ashley Peppers, FNP

• Driver in Macon, GA
• Providers in Macon, GA by specialty
• Driver in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.