DR. MICHELE LEE PENNINGTON (MD) – Family Medicine Physician, NPI 1093793622
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for DR. MICHELE LEE PENNINGTON (MD)
Griffin Avenue, Eastman, Dodge County, Georgia, 31023, United States
EASTMAN, GA 310236718
Phone: (478) 374-0020
Fax: (478) 374-2937
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091028000466 | I | Family Practice | GA | TBD |
| I20140610002497 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 323 | 285 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 316 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 100 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 98 | 48 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 78 | 72 | $0 |
Insurance plans in this area (ZIP 31023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Emergency Medicine | MI | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | AL | |
| - | GA |
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