DESIREE BUEHLER PENDERGRASS M.D.
NPI 1255425989
Pediatrics in Jackson, MS

Q: What is Desiree Pendergrass's NPI number?

The NPI number for Desiree Pendergrass is 1255425989. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Desiree Pendergrass's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 03, 2006

2500 N STATE ST, JACKSON, MS 39216(601) 815-8982 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2017, Feb 2, 2017, Sep 28, 2015 (3 updates tracked since 2015).

On this page

About Desiree Buehler Pendergrass M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE BUEHLER PENDERGRASS M.D. (NPI 1255425989) is an individual pediatrics provider in Jackson, Mississippi, licensed in Mississippi (24712) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1255425989

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDESIREE BUEHLER PENDERGRASSCredential: M.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-8982

Phone(601) 815-8982

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateFebruary 17, 20173 updates tracked since enumeration

✔ NPI 1255425989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MS · 24712✔ Licensed in TX · H4609

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 24712 (MS), H4609 (TX)

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

Other Identifiers 9

Other08907561TX · Nm Medicaid

Medicare PIN551694YJ5DMS

Other132232307TX · Tmhp

Other8J1510TX · Medicare

Other8G6058TX · Bc/bs

Other155349101TX · Firstcare Medicaid

Medicaid05359595MS

Other200101350ATX · Ok Medicare

Medicare UPINE52071TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)