Robert David Penn Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-09297 Issued in NC

Practice address

323 Fleet St
New Bern, NC 28562-5656

Phone

(252) 470-6825

NPI assigned

Sep 25, 2019

Sex

Male

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Fastmed P.C.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1629841788
  Medicare reassignment Care Compare group
• Fastmed Primary Care, P.C.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1912774423
  NPD (past)
• Queens Empire Health

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1871103408
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1962053538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HEATH SWAMP RD",
            "city": "COVE CITY",
            "state": "NC",
            "postal_code": "285239724",
            "telephone_number": "319-213-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 FLEET ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625656",
            "telephone_number": "252-470-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4355B Gum Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285409178",
            "country_code": "US",
            "telephone_number": "252-470-6825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5056 Hwy 70 W",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285574502",
            "country_code": "US",
            "telephone_number": "252-240-3223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Middle St",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285604928",
            "country_code": "US",
            "telephone_number": "252-631-1139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENN",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Pearson, CRNA
• Pediactivity LLC
• Pelhams Compassionate Home Care Agency, Inc
• Janet B Pelletier, MSN RN FNP-BC
• Charmeen Andrea Penn, MSW, LCSW
• Audrey Lynne Peppin, MS, OTR/L
• Nancy Elizabeth Perdue, MS CCC SLP
• Armando Enrique Perez Ginnari, M.D.
• Melissa Perez Melian
• Jaime Perez

• Physician Assistant in New Bern, NC
• Providers in New Bern, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.