Individual provider Active NPI

David A Pennington, MD

  • Obstetrics & Gynecology Physician
  • Farmville, VA
National Provider Identifier
1609941582
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5665828-1205 Issued in UT
Practice address
800 Oak St
Farmville, VA 23901-1199
Phone
(434) 315-2401
NPI assigned
Nov 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 42731 AZ
Obstetrics & Gynecology Physician 207V00000X 5665828-1205 UT Primary

Addresses

Primary practice location

800 Oak St
Farmville, VA 23901-1199

Mailing address

2020 Silver Creek Rd Ste 206
Bullhead City, AZ 86442-8476
Phone (928) 704-4327

Other practice location 1

3507 N University Ave Ste 175
Provo, UT 84604-6692
Phone (801) 719-8395

Other practice location 2

5750 E Highway 90 Ste 300
Sierra Vista, AZ 85635-9111
Phone (520) 263-3620

Other practice location 3

2020 Silver Creek Rd Ste 206
Bullhead City, AZ 86442-8476
Phone (928) 704-4327

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.pennington.1@1575.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325002118 VA Practitioner - Obstetrics/GynecologyPractitioner - Sports Medicine 8224276142 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42731AZMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvinix, LLC CurrentSince Oct 26, 2023 Accepting new patients
Centra Medical Group, LLC Family Medicine CurrentSince Feb 15, 2021 Accepting new patients

Locations

800 Oak St
Farmville, VA 23901
Phone (434) 315-2530

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1937 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-6965

4701 Columbus St
Ste 100
Virginia Beach, VA 23462
Phone (414) 736-1317

15255 Watertown Plank Rd
Ste 200
Elm Grove, WI 53122
Phone (414) 736-1317

Interoperability endpoints

  • Direct secure messaging: david.pennington.1@1575.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1609941582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD STE 206",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428476",
            "telephone_number": "928-704-4327",
            "fax_number": "928-444-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011199",
            "telephone_number": "434-315-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3507 N University Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846046692",
            "country_code": "US",
            "telephone_number": "801-719-8395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5750 E Highway 90 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856359111",
            "country_code": "US",
            "telephone_number": "520-263-3620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Silver Creek Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428476",
            "country_code": "US",
            "telephone_number": "928-704-4327",
            "fax_number": "928-444-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-23",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "42731",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "5665828-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.pennington.1@1575.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2020 Silver Creek Rd Ste 206",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864428476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.