NPI age
20 years
Enumerated 2006-01-18
● Active
Type 1 · Individual
Derek Paul Pendarvis, MD
Pendarvis is 1 of 27 surgery providers in Gainesville and 1 of 1389 in Georgia.
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
Mailing address
Po Box 658
Gainesville, GA 305030658
Additional practice locations
5 secondary locations on file with NPPES.
Location 2
1270 Friendship Rd
Braselton, GA 305175630
Location 3
743 Spring St Ne
Gainesville, GA 305013715
Location 4
1400 River Pl
Braselton, GA 305175600
Location 5
495 Highway 400
Dahlonega, GA 305336823
Location 6
1945 Beverly Rd
Gainesville, GA 305012034
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1700231 | UNITED HEALTHCARE |
| 05 (GA) | 000904274A | |
| 01 (GA) | 10045029 | AMERIGROUP |
| 01 (GA) | 52843776 | BCBS |
| 05 (GA) | 000904274B | |
| 01 (GA) | 341106 | WELLCARE |
| 01 (GA) | 7816063 | CIGNA |
| 01 (GA) | 20050660 | RR MEDICARE-GRP # CC4177 |
Practice context
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.