Keith Bradley Pennycook, DO
Dermatology Physician · Cumming, GA
Keith Bradley Pennycook, DO is a dermatology physician with a practice address in Cumming, Georgia, and NPI 1821651944, issued on Apr 15, 2019. Check the license (Georgia 86267, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Keith Bradley Pennycook
- Credential
- DO
- Primary taxonomy
- Dermatology Physician 207N00000X
- License number
- 86267 GA
Self-reported in NPPES; status is on the state search - Practice location
- 2870 Ronald Reagan Blvd Ste 103, Cumming, GA 30041
- Phone
- (248) 601-4900
- Enumerated
- Apr 15, 2019
- Record last updated
- Dec 19, 2025
- Medicare enrollment
- Enrolled (PECOS I20230929003289); accepts Medicare assignment
- Medical or professional school
- Michigan State University College Of Osteopathic Medicine, 2019
- Entity
- Type 1 · individual
8 nearest dermatology physician records → All 349 in Georgia → Look up another NPI →
Verify Keith Bradley Pennycook in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 86267Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $1,838.50
67 payments; by number, the most common kind was food and beverage; the largest payer was Leo Pharma Inc. The 10,250 providers of this specialty with any payment received $8,544.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Aqua Dermatology OF Georgia PCMarietta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Keith Bradley Pennycook among 349 dermatology physician records in Georgia
Keith Bradley Pennycook, DO is one of 349 dermatology physician records with a practice address in Georgia. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 87% of them.
- NPI issued2019 · 87% of these records are older, 11% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated2019 · median 2006 among the 260 with a school on file
- Record last updated2025 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dermatology Physician providers in Georgia
There are 349 dermatology physician records in Georgia.
All 349 in Georgia → Every provider in Cumming → Dermatology Physician nationwide →
The 8 dermatology physician records with the nearest ZIP codes
- Trisha Daley, MDCumming, GA 300411124014246
- Abhik Dhar, MDCumming, GA 300411306890678
- Alexander Gross, M.D.Cumming, GA 300411306826490
- Naga Meduri, MDCumming, GA 300411346344405
- Avalon Regalbuto, DOCumming, GA 300411124605944
- Nathan Cleaver, DOCumming, GA 300401871882225
- Weston Waxweiler, MDCumming, GA 300401386936839
- Matthew Reschly, M.D.Lawrenceville, GA 300431417949777
Common questions
What is Keith Bradley Pennycook, DO's NPI number?
Keith Bradley Pennycook, DO's National Provider Identifier (NPI) is 1821651944, issued on Apr 15, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Keith Bradley Pennycook, DO located?
The NPPES record lists a practice address at 2870 Ronald Reagan Blvd Ste 103, Cumming, GA, 30041. Phone: (248) 601-4900. Providers update this record themselves, so call before visiting.
How can I verify Keith Bradley Pennycook, DO's license?
NPPES lists Georgia license number 86267, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.