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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Premium Care Med Group Inc

Internal Medicine Physician in Covington, GA · enumerated 2009 · authorized official Ted Pennel, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295965986

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Registry record

Entity type Organization (Type 2)
Legal business name Premium Care Med Group Inc
Practice address 3828 Salem Rd, Suite 200, Covington, GA, 30016
Enumeration date Jul 16, 2009
Last updated in NPPES Jul 16, 2009

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 029068 (GA) Primary

Authorized official

Name Ted Pennel
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Premium Care Med Group Inc located?
The practice location on file with NPPES is in Covington, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-07-16. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-16.