Active NPI
Tammy M. Pennington, MD
- Psychiatry Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 42503
- Practice address
- 501 E Broadway Ste 340
Louisville, KY 40202-1799 - Phone
- (502) 852-5395
- NPI assigned
- Feb 1, 2007
- Last updated
- Oct 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R1255 | KY | |
| Psychiatry Physician | 2084P0800X | 42503 | KY | Primary |
Addresses
Primary practice location
501 E Broadway Ste 340
Louisville, KY 40202-1799
Mailing address
4201 Springhurst Blvd
Ste 203
Louisville, KY 40241
Phone (502) 425-6690
Other names 1
- Mrs. Tammy M. Pennington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Louisville School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Commerce Park Dr
Suite 110
Williamsport, PA 17701-5475
Phone (570) 323-6944
4133 Medical Ctr Dr
Broad Top, PA 16621
4133 Medical Ctr Dr
Broad Top, PA 16621-9001
Phone (814) 635-2916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1255 | KY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad Top Area Medical Center Inc | Current | Accepting new patients | |
| Community Services Group, Inc. | Current | Accepting new patients | |
| Broad Top Area Medical Center Inc | Current | Accepting new patients | |
| Broad Top Area Medical Center Inc | Current | Accepting new patients |
Locations
375 S Kishacoquillas St
Belleville, PA 17004
Phone (717) 935-2065
4133 Medical Center Dr
Broad Top, PA 16621
Phone (814) 506-8463
358 Seminary St
Cassville, PA 16623
Phone (814) 448-9226
6674 Towne Center Blvd
Huntingdon, PA 16652
Phone (814) 643-1232
6678 Towne Center Blvd
Huntingdon, PA 16652
Phone (814) 506-8490
790 Bryan St
Huntingdon, PA 16652
Phone (814) 643-8300
790 Bryan St
#2
Huntingdon, PA 16652
Phone (814) 506-8114
814 Washington St
Huntingdon, PA 16652
Phone (814) 623-4415
95 S Park St
Mount Union, PA 17066
Phone (814) 542-8627
320 Highland Dr
Mountville, PA 17554
Phone (717) 285-7121
626 Water St
Ste 1
Orbisonia, PA 17243
Phone (814) 447-5556
1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944
Interoperability endpoints
- t.pennington@broadtopmedical.medentdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Broad Top, PA
- NPI 1063514453
-
- Community/Behavioral Health Agency
- Mountville, PA
- NPI 1265426084
-
dba Juniata Valley BTAMC Clinic
- Federally Qualified Health Center (FQHC)
- Alexandria, PA
- NPI 1437878667
-
dba BTAMC Walk In Clinic
- Federally Qualified Health Center (FQHC)
- Huntingdon, PA
- NPI 1649769589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792281600000",
"number": "1417095746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 SPRINGHURST BLVD",
"address_2": "STE 203",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40241",
"telephone_number": "502-425-6690",
"fax_number": "502-425-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E BROADWAY STE 340",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021799",
"telephone_number": "502-852-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "TAMMY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2026-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "R1255",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "42503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "PENNINGTON",
"middle_name": "M.",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.