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

Stacey Marie Penso, NP-C

Individual provider Family Nurse Practitioner · NPI 1346838364

Stacey Marie Penso, NP-C is a Nurse Practitioner in Athens, Georgia. Qualified in 2009, 17 years ago. Practices with Piedmont Athens Specialty Care LLC, a 116-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

242 King Ave Ste 210
Athens, GA 30606
Phone: (706) 475-1700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1199 Prince Ave, Athens, GA 30606-2767 — (706) 338-2820

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN192603 (GA)

Record details

NPI number1346838364
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESApril 13, 2021
Certification dateMarch 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Piedmont Athens Specialty Care Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Athens