Penny Marie Dilorenzo, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

694 Saddle Cir
Waycross, GA 31503-7930

Phone

(912) 337-7789

NPI assigned

Jan 27, 2021

Last updated

Jan 4, 2022By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dilorenzo Surgical Assisting

  • Surgical Physician Assistant
  • Waycross, GA
  • NPI 1770177651
  NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1952992547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 SADDLE CIR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315037930",
            "telephone_number": "912-337-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 SADDLE CIR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315037930",
            "telephone_number": "912-337-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Tebeau St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315016357",
            "country_code": "US",
            "telephone_number": "912-283-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Knight Ave",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315013354",
            "country_code": "US",
            "telephone_number": "912-490-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILORENZO",
        "first_name": "PENNY",
        "middle_name": "MARIE",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-01-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "surgicaltech@satillafootandankle.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "545 Knight Ave",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315013354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Elise Dibiase, D.C.
• Jennifer Ann Dieu, ARNP, PMHNP
• Digestive Disease Consultants, P.C.
• Lakshmi Digumarthi, MD
• Dilorenzo Surgical Assisting
• Diversified Resources, Inc.
• Doctors' Office MD PC
• Donald a. Bethea, D.D.S., L.L.C.
• Donnel Cross Host Home
• Christopher E Dougherty, LPCC

• Surgical Physician Assistant in Waycross, GA
• Providers in Waycross, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.