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

Dr. Connie Jo Pennington, MD

Individual provider Surgery Physician · NPI 1790783330

Dr. Connie Jo Pennington, MD is a Colorectal Surgery (Proctology) in Knoxville, Tennessee. Graduated from Eastern Virginia Medical School in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
31
Trained at
Eastern Virginia Medical School
Licensed in
TN
In the registry since
2005
Specialties on file
2
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

800 S Gay St Ste 100
Knoxville, TN 37929-4040
Phone: (423) 534-9029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 30358 (TN)
Specialist Taxonomy 174400000X · Licence MD0000030358 (TN)

Record details

NPI number1790783330
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2005
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address1 Tallapoosa Rd, Johnson City, TN 37604-7187

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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