DR. SONJA ANISSA PENSON M.D. NPI 1649245432

NPI Information

  • NPI: 1649245432
  • Provider Name: DR. SONJA ANISSA PENSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2400 MT. ZION PARKWAY KAISER PERMANENTE
    SOUTHWOOD COMPREHENSIVE MEDICAL CENTER
    JONESBORO, GA
    ZIP 30236
  • Phone: (770) 603-3668

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NPI Details

DR. Sonja Anissa Penson, M.D. is a family medicine in Jonesboro, GA with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Sonja Anissa Penson, M.D. NPI is 1649245432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

2400 MT. ZION PARKWAY KAISER PERMANENTE
SOUTHWOOD COMPREHENSIVE MEDICAL CENTER
JONESBORO, GA
ZIP 30236
Phone: (770) 603-3668

The NPI 1649245432 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 2/23/2006 and was last updated on 1/11/2022.

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
1207Q00000XFamily Medicine048562GEORGIAYes

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: 3/30/2025

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