Active NPI
Penco Partners LLC
- Durable Medical Equipment & Medical Supplies
- Stockbridge, GA
National Provider Identifier
1285392878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.