Elizabeth L Penn MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

067374 Issued in GA

Legal business name

ELIZABETH L PENN MD PC

Practice address

16741 Ga Highway 67
Ste F
Statesboro, GA 30458-2528

Phone

(912) 871-5437

Fax

(912) 681-6551

NPI assigned

Jul 19, 2012

Last updated

Jul 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth L Penn, MD

Title

Owner

Phone

(912) 871-5437

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel M Feldman, M.D.

  • Pediatrics Physician
  • Statesboro, GA
  • NPI 1902977853
  NPD (past)
• Frances Elizabeth Logan Penn, M.D, M.S.P.H.

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1447340773
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1427303015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16741 GA HIGHWAY 67",
            "address_2": "STE F",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582528",
            "telephone_number": "912-871-5437",
            "fax_number": "912-681-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16741 GA HIGHWAY 67",
            "address_2": "STE F",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582528",
            "telephone_number": "912-871-5437",
            "fax_number": "912-681-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH L PENN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-871-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "067374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary J Edenfield, LAPC
• Natosha Edenfield, LPC
• Rachel Oglesby Edenfield, PNP
• James Harvey Elerson Jr., DMD
• Elite Screenings & More LLC
• Abigail Fontaine Elkins
• Ellen N. Emerson, PHD, LLC
• Ellington Eyecare PLLC
• Brandi Marisa Bazemore Ellis, M.S. CCC-SLP
• Patrice Ellison, LPN

• Pediatrics Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.