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W. Jefferson Pendergrast, M.D.
NPI 1376603894 · Specialist · Atlanta, GA
W. Jefferson Pendergrast, M.D. is a Specialist provider in Atlanta, GA (NPI 1376603894).
Provider details
- NPI number
- 1376603894
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 015409 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2505 Flair Knoll Ct Ne
Atlanta, GA 30345-1311
Phone: (404) 636-2332
Street-level locationGet directions
Mailing address
2505 Flair Knoll Ct Ne
Atlanta, GA 30345-1311
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2011-04-14
Frequently asked questions
- What is W. Jefferson Pendergrast's NPI number?
- W. Jefferson Pendergrast's National Provider Identifier (NPI) is 1376603894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is W. Jefferson Pendergrast's specialty?
- W. Jefferson Pendergrast is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is W. Jefferson Pendergrast located?
- W. Jefferson Pendergrast's practice location on file with NPPES is 2505 Flair Knoll Ct Ne, Atlanta, GA 30345-1311.
- What is W. Jefferson Pendergrast's phone number?
- The practice phone number listed in the NPPES registry for W. Jefferson Pendergrast is (404) 636-2332.
- Is W. Jefferson Pendergrast's NPI active?
- Yes — W. Jefferson Pendergrast's NPI (1376603894) is active in the NPPES registry as of the last update on 2011-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.