MARK JAMES PENDERGAST DC
NPI 1316061955
Chiropractor in Suwanee, GA

Q: What is Mark Pendergast's NPI number?

The NPI number for Mark Pendergast is 1316061955. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Mark Pendergast's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Pendergast was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2007

245 PEACHTREE IND BLVD #100, SUWANEE, GA 30022(678) 541-0777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark James Pendergast Dc NPPES

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

MARK JAMES PENDERGAST DC (NPI 1316061955) is an individual chiropractor in Suwanee, Georgia, licensed in Georgia (CHIRO07830) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1316061955

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameMARK JAMES PENDERGASTCredential: DC

Location Address245 PEACHTREE IND BLVD #100Suwanee, GA 30022

Mailing Address10945 State Brdg Rd #401-294Alpharetta, GA 30022 · (678) 541-0777

Phone(678) 541-0777

Sole ProprietorYes

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316061955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in GA · CHIRO07830

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

245 PEACHTREE IND BLVD #100, Suwanee, GA 30022

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Pendergast's NPI number?

The NPI number for Mark Pendergast is 1316061955. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Mark Pendergast located?

Mark Pendergast practices at 245 Peachtree Ind Blvd #100, Suwanee, GA 30022. The listed phone number is (678) 541-0777.

What is Mark Pendergast's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Mark Pendergast accept?

Health plans from Providence Health Plan list Mark Pendergast as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Pendergast was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.