John Penuel, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

048926 Issued in GA

Practice address

821 N Cobb St
Milledgeville, GA 31061-2343

Phone

(478) 452-0524

Fax

(478) 452-0525

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: john.penuel@oconeeregional.gadirect.net

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.

• Cherokee Indian Hospital Authority

  dba Ciha Analenisgi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)
• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348
  NPD (past)
• Franklin Richard Lang,MD

  • Specialist
  • Clyde, NC
  • NPI 1578515540
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285633842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 SHACKLEFORD CT",
            "address_2": "SUITE 350",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932954",
            "telephone_number": "770-688-3801",
            "fax_number": "770-237-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-452-0524",
            "fax_number": "478-452-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENUEL",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9900983",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "048926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00926483D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "048926",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "581593676",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00991552",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathmedic
• Patrice D Boddie
• Daniel Patrick, DC
• Peach State Nursing Agency
• Shakeitha Peeler
• Personal Foot & Ankle Specialist,PC
• Personal Safety Specialists
• Benjamin Allen Peters
• Charlene Watkins Philyaw
• Physical & Athletic Rehabilitation Center

• Diagnostic Radiology Physician in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.