Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Wayne Pennington, MD

Individual provider Specialist · NPI 1871676627

Dr. Jack Wayne Pennington, MD is a Specialist in Blairsville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

207 Hospital Cir Ste A
Blairsville, GA 30512-3128
Phone: (706) 745-5758
Fax: (706) 745-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 015212 (GA)

Record details

NPI number1871676627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 23, 2006
Last updated in NPPESJuly 8, 2007

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