P Praxis·MD
● Active Type 1 · Individual

DR. W. Jefferson Pendergrast JR., M.D.

Specialist·Atlanta, GA· NPI 1376603894 · Enumerated 2006 · 19 years on NPI
Pendergrast is 1 of 372 specialist providers in Atlanta and 1 of 1881 in Georgia.
NPI age
19 years
Enumerated 2006-12-12
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-04-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1881 active specialist providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
2505 Flair Knoll Ct Ne
Atlanta, GA 303451311
📞 4046362332
Mailing address
2505 Flair Knoll Ct Ne
Atlanta, GA 303451311
📞 4046362332

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #015409 taxonomy 174400000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 4 new specialist providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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