DR. SUZANNE PENNA (PH.D.) – Clinical Neuropsychologist, NPI 1578602827

DR. SUZANNE PENNA (PH.D.) is a healthcare provider. based in Decatur, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 1386 (AL). The NPI Number for DR. SUZANNE PENNA (PH.D.) is 1578602827

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUZANNE PENNA (PH.D.)
NPI
1578602827
Phone
(404) 321-6111
Address
1670 CLAIRMONT RD
Enumeration Date
5 February 2007
Last Update Date
27 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047787525
Graduation Year
2005 (21 years ago)
PAC ID
0941363287
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20090113000039
Address ID
GA303221013AT1365XNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

483 CLINICAL PSYCHOLOGIST in GA

Provider Addresses for DR. SUZANNE PENNA (PH.D.)

  • 1670 CLAIRMONT RD

    MAIL CODE 126

    DECATUR, GA 300334004

    Phone: (404) 321-6111

    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: 2009-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090113000039IClinical PsychologistGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96133Evaluation of neuropsychological test, each additional hour9925$0
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes8913$0
96132Evaluation of neuropsychological test, first hour2625$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Does DR. SUZANNE PENNA (PH.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SUZANNE PENNA (PH.D.) uses 1578602827.
Can I rely on DR. SUZANNE PENNA (PH.D.) being an active provider?
As of the registry snapshot, DR. SUZANNE PENNA (PH.D.) is marked active.
What is DR. SUZANNE PENNA (PH.D.)'s primary classification?
Clinical Neuropsychologist is the headline specialty for DR. SUZANNE PENNA (PH.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. SUZANNE PENNA (PH.D.) serve?
DR. SUZANNE PENNA (PH.D.)'s listing highlights Decatur, Georgia; more addresses can appear in NPPES.
Why does DR. SUZANNE PENNA (PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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