DR. DAVID ROSS PENN M.D. NPI 1760644355

NPI Information

  • NPI: 1760644355
  • Provider Name: DR. DAVID ROSS PENN, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1035 SOUTHCREST DR STE 250
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (770) 996-9945

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NPI Details

DR. David Ross Penn, M.D. is a vascular and interventional radiology radiology in Stockbridge, GA with 18 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. David Ross Penn, M.D. NPI is 1760644355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1035 SOUTHCREST DR STE 250
STOCKBRIDGE, GA
ZIP 30281-117
Phone: (770) 996-9945

The NPI 1760644355 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, 20-29 minutes (HCPCS:99213)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Injection of chemical agent into single incompetent vein (HCPCS:36470)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, basic group of blood chemicals (calcium, ionized) (HCPCS:80047)
  • Laser destruction of incompetent vein of arm or leg using imaging guidance (HCPCS:36478)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/26/2008 and was last updated on 12/25/2018.

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
12085R0202XRadiologyDiagnostic Radiology30815SOUTH CAROLINANo
22085R0204XRadiologyVascular & Interventional Radiology072605GEORGIAYes

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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