KAREN M PENNELLI (P.A) – Physician Assistant, NPI 1811088685

KAREN M PENNELLI (P.A) is a healthcare provider. based in Alpharetta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A. They hold a License No. 784 (MA). The NPI Number for KAREN M PENNELLI (P.A) is 1811088685

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KAREN M PENNELLI (P.A)
NPI
1811088685
Phone
(770) 667-4337
Address
3400 Old Milton Pkwy # C
Enumeration Date
27 September 2006
Last Update Date
14 April 2020

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
7702241000
Graduation Year
1996 (30 years ago)
PAC ID
4587618426
Group Practice PAC ID
8628253424
Professional Enrollment ID
I20160928001763
Address ID
GA301158015CA450XXBLVD400

Contacts

Secure Messaging
kpennelli143388@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for KAREN M PENNELLI (P.A)

  • 3400 Old Milton Pkwy # C

    Suite 290

    Alpharetta, GA 300053707

    Phone: (770) 667-4337

    Fax: (770) 667-4338

    Type: Location

  • Old Milton Parkway, Country Place, Alpharetta, Fulton, Georgia, 30022, United States

    SUITE 290

    ALPHARETTA, GA 300053707

    Phone: (770) 667-4337

    Fax: (770) 667-4338

    Type: Mailing

  • 170, Northside-Cherokee Boulevard, Canton, Cherokee County, Georgia, 30114, United States

    CANTON, GA 301158029

    Phone: (770) 721-9540

    Fax: (770) 721-9541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Teleflex LLC ($107).

Total Amount

$207

General + Research + Ownership

Payments

6

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-09-28

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
I20160928001763IPhysician AssistantGATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4646$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3224$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1914$0
View full utilization report →

Insurance plans in this area (ZIP 30005)

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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: 8628253424View full group profile

Reviews

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Frequently asked questions

How do payers reference KAREN M PENNELLI (P.A)?
For KAREN M PENNELLI (P.A), use NPI 1811088685 as the unique 10-digit identifier.
Active or inactive — what applies to KAREN M PENNELLI (P.A)?
You should see KAREN M PENNELLI (P.A) as active in CMS-hosted NPPES data.
What clinical focus is listed for KAREN M PENNELLI (P.A)?
At a glance, KAREN M PENNELLI (P.A) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Georgia is KAREN M PENNELLI (P.A) registered?
Use Alpharetta, Georgia as the headline location for KAREN M PENNELLI (P.A) here.
Does KAREN M PENNELLI (P.A) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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