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DR. MARK JACOB PENDERGRASS D.C.
NPI 1891038642
Chiropractor in Smyrna, TN

Active since March 30, 2013Accepts Medicare Assignment
325 SAM RIDLEY PKWY W, SMYRNA, TN 37167(615) 239-0907 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Jacob Pendergrass D.c. NPPES

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

DR. MARK JACOB PENDERGRASS D.C. (NPI 1891038642) is an individual chiropractor in Smyrna, Tennessee, licensed in Tennessee (2587) and active in the NPI registry since March 2013. He is a graduate of Life Chiropractic College (2012).

NPPES Registry Identity

NPI1891038642
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK JACOB PENDERGRASSCredential: D.C.
Location Address325 SAM RIDLEY PKWY WSmyrna, TN 37167-5625
Mailing Address325 Sam Ridley Pkwy WSmyrna, TN 37167-5625 · (615) 239-0907
Phone(615) 239-0907
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2012
Enumeration DateMarch 30, 2013
Last NPPES UpdateOctober 19, 2015
✔ NPI 1891038642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · 2587
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.
325 SAM RIDLEY PKWY W, Smyrna, TN 37167
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Jacob Pendergrass D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981845732
PECOS Enrollment IDI20130722000205

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
146 services14 patients

Other Providers at the Same Location NPPES 2

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

DR. ELIZABETH A PENDERGRASS D.C.
Chiropractor
325 SAM RIDLEY PKWY W
SMYRNA, TN 37167
Rutherford County (615) 239-0907
ROCK SPRINGS FAMILY CHIROPRACTIC
Chiropractor
325 SAM RIDLEY PKWY W
SMYRNA, TN 37167
Rutherford County (715) 574-9436

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 Pendergrass's NPI number?

The NPI number for Mark Pendergrass is 1891038642. It was assigned to this individual provider in the NPPES registry on March 30, 2013.

Where is Mark Pendergrass located?

Mark Pendergrass practices at 325 Sam Ridley Pkwy W, Smyrna, TN 37167. The listed phone number is (615) 239-0907.

What is Mark Pendergrass's specialty?

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

Is Mark Pendergrass enrolled in Medicare?

Yes. Mark Pendergrass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Pendergrass accept?

Health plans from BlueCross BlueShield of Tennessee list Mark Pendergrass 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 Pendergrass was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.