DR. SONJA ANISSA PENSON (M.D.) – Family Medicine Physician, NPI 1649245432

DR. SONJA ANISSA PENSON (M.D.) is a healthcare provider. based in Jonesboro, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 048562 (GA). The NPI Number for DR. SONJA ANISSA PENSON (M.D.) is 1649245432

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SONJA ANISSA PENSON (M.D.)
NPI
1649245432
Phone
(770) 603-3668
Address
2400 MT. ZION PARKWAY KAISER PERMANENTE
Enumeration Date
23 February 2006
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7705279031
Graduation Year
1998 (28 years ago)
PAC ID
0547341794
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20080115000041
Address ID
GA302362500JO2470XPKWY401

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,103 FAMILY PRACTICE in GA

Provider Addresses for DR. SONJA ANISSA PENSON (M.D.)

  • 2400 MT. ZION PARKWAY KAISER PERMANENTE

    SOUTHWOOD COMPREHENSIVE MEDICAL CENTER

    JONESBORO, GA 30236

    Phone: (770) 603-3668

    Type: Location

  • Piedmont Road Northeast, Buckhead, Atlanta, Georgia, 30305, United States

    NINE PIEDMONT CENTER

    ATLANTA, GA 30305

    Phone: (404) 364-7070

    Type: Mailing

  • 3495 PIEDMONT RD NE

    NINE PIEDMONT CENTER

    ATLANTA, GA 303051717

    Phone: (404) 364-7070

    Type: Mailing

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: 2008-01-15

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
I20080115000041IFamily PracticeGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 30236)

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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: 6204829013View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. SONJA ANISSA PENSON (M.D.) by NPI?
Use NPI 1649245432 when you need to reference DR. SONJA ANISSA PENSON (M.D.) in forms, claims, or directories.
Is DR. SONJA ANISSA PENSON (M.D.) currently active in the NPI registry?
CMS-published data lists DR. SONJA ANISSA PENSON (M.D.) as an active registrant.
Does DR. SONJA ANISSA PENSON (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. SONJA ANISSA PENSON (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. SONJA ANISSA PENSON (M.D.)?
We surface Jonesboro, Georgia for DR. SONJA ANISSA PENSON (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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