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Deactivated NPI 1578511374 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Earl Pennington , MD

Colon & Rectal Surgery • Suwanee, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Pennington has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2006
NPI Deactivation Date June 15, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Pennington, MD was a registered Colon & Rectal Surgery practicing in Suwanee, GA. Throughout an active medical career spanning 14 years, Dr. Pennington provided care at the practice location at 3905 JOHNS CREEK CT until profile deactivation on 2020-06-15.

Practice Location & Contact Primary Location

Practice Address

3905 Johns Creek Ct
Suite 200

Suwanee, GA 300241224

Telephone 6789548538
Fax 6782449204
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Suwanee, GA (81 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License GA 015299

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Kathleen Brunner , MEDCCC-SLP

Speech-Language Pathologist

NPI 1063510873

MEDCCCSLP

Sara Barto , MS CCC-SLP

Speech-Language Pathologist

NPI 1144503350

MSCCCSLP

Patrick Caffrey , MS, LPC

Counselor - Professional

NPI 1164821856

Master of Science, Licensed Professional Counselor

Jill Ronske

Occupational Therapist

NPI 1174685754
Dr. Julia Stell , DPT

Physical Therapist

NPI 1255439063

Doctor of Physical Therapy

Debbie Middlebrook , LAPC

Counselor - Professional

NPI 1255867016

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 15, 2020

Record deactivated on June 15, 2020

NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2013

Registered at 3905 JOHNS CREEK CT, SUITE 200, SUWANEE, GA 300241224 (Tel: 6789548538)

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Updated Business Mailing Address September 24, 2013

Registered at 3890 JOHNS CREEK PKWY, SUITE 320, SUWANEE, GA 300241284 (Tel: 6789548538)

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Provider Name / Credentials Updated September 24, 2013

Recorded as EDWARD PENNINGTON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Colon & Rectal Surgery (License #015299 in GA)

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Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578511374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: September 24, 2013
Deactivation Date: June 15, 2020

Mailing Address

3890 Johns Creek Pkwy, Suite 320

Suwanee, GA 300241284

Phone: 6789548538

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.