Elaine Penny, OTRL

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT000228 Issued in GA

Practice address

4249 Old Alabama Rd
Thomaston, GA 30286-3270

Phone

(706) 647-4514

NPI assigned

Nov 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659442846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 OLD ALABAMA RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 OLD ALABAMA RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863270",
            "telephone_number": "706-647-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "ELAINE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "OT000228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Patrick, M.D.
• Amy Oglesby Peacock, PHARM D
• Jason Randall Pearce, M.D.
• Pediatric Associates of Thomaston, Inc
• Leah Marie Pendleton, PHARMD
• James Brody Peoples, PHARMD
• David Allen Peterson, MD
• Briana Brooke Peyton
• Brandy Pfeiffer
• Melanie Robin Phillips, PHARMD

• Specialist in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.