JOHN PENUEL M.D. NPI 1285633842

NPI Information

  • NPI: 1285633842
  • Provider Name: JOHN PENUEL, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 821 N COBB ST
    MILLEDGEVILLE, GA
    ZIP 31061
  • Phone: (478) 452-0524

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NPI Details

John Penuel, M.D. is a diagnostic radiology radiology in Milledgeville, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John Penuel, M.D. NPI is 1285633842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

821 N COBB ST
MILLEDGEVILLE, GA
ZIP 31061-343
Phone: (478) 452-0524
Fax: (478) 452-0525

The NPI 1285633842 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist9900983NORTH CAROLINANo
22085R0202XRadiologyDiagnostic Radiology048926GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100926483DMEDICAIDGEORGIA
2048926OTHERGEORGIALICENSE
3581593676OTHERGEORGIATAX IDENTIFICATION
4P00991552OTHERGEORGIARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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