Pamela A Penner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200101484 Issued in NC

Practice address

515 W Salisbury St
Suite D
Asheboro, NC 27203-5497

Phone

(336) 636-5100

Fax

(336) 636-5144

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

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

Specialty

Family Practice

Education

Wayne State University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Randolph Hospital Hospital, Asheboro, NC, CCN 340123

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pamela-penner@summit-family.e-mdsdirect.com

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.

• Summit Family Medicine

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1316128580
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• American Healthcare Systems, LLC

  • General Acute Care Hospital
  • Asheboro, NC
  • NPI 1942895081
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1679550040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W SALISBURY ST",
            "address_2": "SUITE D",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035497",
            "telephone_number": "336-636-5100",
            "fax_number": "336-636-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W SALISBURY ST",
            "address_2": "SUITE D",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035497",
            "telephone_number": "336-636-5100",
            "fax_number": "336-636-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200101484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne F. Pearson, LCSW
• Larretta Morrison Pearson, PHARMD
• Joshua Joseph Peck, PA-C
• Lori Gwen Pegram, LCMHC
• Elizabeth M Pekarek, M.D.
• Lawrence Edward Perry, MD
• Peter Son DMD, PLLC
• Joanne M. Peterson, R.N.
• Karen M Pfohl, RD, CDE
• Taylor W Phagan, LCSWA

• Family Medicine Physician in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.

Verify at the official NPI Registry.