Organization Active NPI

Penco Partners LLC

  • Durable Medical Equipment & Medical Supplies
  • Stockbridge, GA
National Provider Identifier
1285392878
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PENCO PARTNERS LLC
Practice address
5 Gresham LNDG Ste C
Stockbridge, GA 30281-6541
Phone
(800) 779-3730
Fax
(800) 470-3730
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Rhonda Copenny Mitchell
Title
Authorized Offical
Phone
(678) 346-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5 Gresham LNDG Ste C
Stockbridge, GA 30281-6541

Mailing address

5 Gresham LNDG
Stockbridge, GA 30281-6341
Phone (800) 779-3730

National Provider Directory

National Provider Directory

Locations

5 Gresham Lndg
Ste C
Stockbridge, GA 30281
Phone (678) 346-8300

5 Gresham Lndg
Stockbridge, GA 30281

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1285392878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRESHAM LNDG",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816341",
            "telephone_number": "800-779-3730",
            "fax_number": "800-470-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRESHAM LNDG STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816541",
            "telephone_number": "800-779-3730",
            "fax_number": "800-470-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENCO PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "COPENNY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "678-346-8300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.