ROBERT PENDERGRAST JR. MD
NPI 1982704896
Pediatrics in Augusta, GA

Q: What is Robert Pendergrast's NPI number?

The NPI number for Robert Pendergrast is 1982704896. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Robert Pendergrast's specialty?

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

Active since September 22, 2006PECOS Enrolled

1120 15TH STREET, AUGUSTA, GA 30912(706) 721-2191(706) 721-4920 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Robert Pendergrast Jr. Md NPPES

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

ROBERT PENDERGRAST JR. MD (NPI 1982704896) is an individual pediatrics provider in Augusta, Georgia, licensed in Georgia (031096) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982704896

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameROBERT PENDERGRAST JR.Credential: MD

Location Address1120 15TH STREETAugusta, GA 30912

Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2650 · (706) 828-6410

Phone(706) 721-2191

Fax(706) 721-4920

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateNovember 30, 2012

✔ NPI 1982704896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 031096

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.

1120 15TH STREET, Augusta, GA 30912

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINE01110

Medicare ID-Type Unspecified37BDBGBGA · Ga Medicare

Medicaid000732971AGA

MedicaidGT6567SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Pendergrast Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Robert Pendergrast reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Au Medical Associates Inc

0.1 mi

Multi-Specialty

1120 15TH ST
Augusta, GA 30912

Reassigned Medicare billing, Georgia enrollment
1,151 clinicians in this Medicare group

NPI 1841230620 (706) 721-2273

Wellstar Medical Group, LLC

140 mi

Family Medicine

11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1922405729 (678) 325-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WAEL ADNAN ALJAROUDI M.D.

Internal Medicine (Cardiovascular Disease)