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DR. KATHY M. PENDERGRASS PHD, CFNP
NPI 1952483588
Nurse Practitioner - Family in Meridian, MS

Active since October 20, 2006
4707 POPLAR SPRINGS DR, MERIDIAN, MS 39305(601) 286-5551(601) 286-5548 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathy M. Pendergrass Phd, Cfnp NPPES

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

DR. KATHY M. PENDERGRASS PHD, CFNP (NPI 1952483588) is an individual family provider in Meridian, Mississippi, licensed in Mississippi (R801465) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1952483588
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KATHY M. PENDERGRASSCredential: PHD, CFNP
Location Address4707 POPLAR SPRINGS DRMeridian, MS 39305-2622
Mailing AddressPo Box 3724Meridian, MS 39303-3724 · (601) 286-5551 · Fax (601) 286-5548
Phone(601) 286-5551
Fax(601) 286-5548
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateFebruary 25, 2016
✔ NPI 1952483588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R801465
4707 POPLAR SPRINGS DR, Meridian, MS 39305
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Other Identifiers 1

Medicare UPINQ58952

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.

STEPHANIE MAYER FNP-C
Nurse Practitioner (Family)
4707 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Lauderdale County (601) 286-5551
THE FREE CLINIC OF MERIDIAN, INC.
Family Medicine (Adult Medicine)
4707 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Lauderdale County (601) 286-5551

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 Kathy Pendergrass's NPI number?

The NPI number for Kathy Pendergrass is 1952483588. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Kathy Pendergrass located?

Kathy Pendergrass practices at 4707 Poplar Springs Dr, Meridian, MS 39305. The listed phone number is (601) 286-5551.

What is Kathy Pendergrass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kathy Pendergrass was last updated on February 25, 2016. 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.