Organization Active NPI

Action Potential, PLLC

Doing business as Motion Wellness

  • Sports Medicine (Family Medicine) Physician
  • Hattiesburg, MS
National Provider Identifier
1922868314
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
ACTION POTENTIAL, PLLC
Doing business as
Motion Wellness
Practice address
31 Town Center SQ # 200
Hattiesburg, MS 39402-7040
Phone
(601) 620-6225
NPI assigned
Mar 21, 2024
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Christopher Penton, MDNPI 1265851646
Title
Owner
Phone
(601) 620-6225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X Primary

Addresses

Primary practice location

31 Town Center SQ # 200
Hattiesburg, MS 39402-7040

Mailing address

31 Town Center SQ # 200
Hattiesburg, MS 39402-7040
Phone (601) 620-6225

Other practice location 1

300 3rd Ave SE
Magee, MS 39111-3665
Phone (601) 849-7318

Other names 1

  • Motion Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429002902 MS Part B Supplier - Clinic/Group Practice 6901246636 Receives reassigned benefits from 1 practitioner
Practice locations: Gautier, MS; Hattiesburg, MS; Magee, MS

National Provider Directory

National Provider Directory

Locations

8837 Lorraine Rd
Ste A
Gulfport, MS 39503
Phone (228) 241-1000

31 Town Center Sq
#200
Hattiesburg, MS 39402
Phone (601) 620-6225

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1922868314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TOWN CENTER SQ # 200",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027040",
            "telephone_number": "601-620-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TOWN CENTER SQ # 200",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027040",
            "telephone_number": "601-620-6225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 3rd Ave SE",
            "address_purpose": "LOCATION",
            "city": "Magee",
            "state": "MS",
            "postal_code": "391113665",
            "country_code": "US",
            "telephone_number": "601-849-7318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTION POTENTIAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "PENTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-620-6225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motion Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.