Active NPI
Georgia Pena
- Community Health Worker
- Lubbock, TX
National Provider Identifier
1881575595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 10645
- Practice address
- 301 40TH St
Lubbock, TX 79404-2746 - Phone
- (806) 743-9355
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 10645 | TX | Primary |
Addresses
Primary practice location
301 40TH St
Lubbock, TX 79404-2746
Mailing address
9105 Boston Ave
Lubbock, TX 79423-4205
Phone (806) 743-4527
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CombestWellness@direct.myteamcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10645 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1881575595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 BOSTON AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794234205",
"telephone_number": "806-743-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 40TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794042746",
"telephone_number": "806-743-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "GEORGIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "10645",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CombestWellness@direct.myteamcare.com",
"affiliation": "N",
"endpointDescription": "SON - Combest Non-Clinical",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "301 40th St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794042746",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.