Pentus Health Woundcare of Georgia

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PENTUS HEALTH WOUNDCARE OF GEORGIA

Practice address

11680 Great Oaks Way Ste 100
Alpharetta, GA 30022-2458

Phone

(855) 539-6863

NPI assigned

Oct 7, 2025

Organization subpart

No

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

Authorized official

Name

Derrick Lane, MD

Title

Manger

Phone

(615) 480-5263

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1336014687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222458",
            "telephone_number": "855-539-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222458",
            "telephone_number": "855-539-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTUS HEALTH WOUNDCARE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "615-480-5263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenique D Penn, LPC
• Ashley Penney, FNP-BC
• Amanda Lin Pennington
• Larue D Penny Jr., M.D.
• Pentus Health Primary Care Alpharetta LLC
• Patricia A Peotter, MT
• Ingrid Carla Peper, LCSW
• Negin Pereira, PHARM.D.
• Enizabeth Perez Andujar
• Diego Perez Morales

• Multi-Specialty Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

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