Colton Pendley, PA-C
NPI 1124885918 · Surgical Physician Assistant · Tyler, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colton Pendley, PA-C is a Surgical Physician Assistant provider in Tyler, TX (NPI 1124885918).
Provider details
- NPI number
- 1124885918
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA17878 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 5345 Atlanta HwyMontgomery, AL 36109-3323Phone: (334) 272-5820
- 925 W Loop 281Longview, TX 75604Phone: (903) 939-7728
- 3816 N University DrNacogdoches, TX 75965Phone: (903) 939-7728
- 910 E Houston StTyler, TX 75702-8369Phone: (903) 606-8718
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2025-06-19
- Certified
- 2025-06-19
Frequently asked questions
- What is Colton Pendley's NPI number?
- Colton Pendley's National Provider Identifier (NPI) is 1124885918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colton Pendley's specialty?
- Colton Pendley is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Colton Pendley located?
- Colton Pendley's practice location on file with NPPES is 3414 Golden Rd, Tyler, TX 75701.
- What is Colton Pendley's phone number?
- The practice phone number listed in the NPPES registry for Colton Pendley is (903) 939-7728.
- Does Colton Pendley accept Medicare?
- Colton Pendley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Colton Pendley's NPI active?
- Yes — Colton Pendley's NPI (1124885918) is active in the NPPES registry as of the last update on 2025-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.