P Praxis·MD
● Active Type 1 · Individual

Yashate Kinkia Pendergrass, RN

Registered Nurse·Grovetown, GA· NPI 1508325242 · Enumerated 2019 · 7 years on NPI
Pendergrass is 1 of 1 registered nurse providers in Grovetown and 1 of 217 in Georgia.
NPI age
7 years
Enumerated 2019-03-12
Primary specialty
Registered Nurse
Licensed in
SC
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-03-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 217 active registered nurse providers in Georgia.

NPI age
7 years
↓ 5 yr below median (12 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
2159 Grove Landing Way
Grovetown, GA 308137017
📞 8433563374
Mailing address
2159 Grove Landing Way
Grovetown, GA 308137017
📞 8433563374

Specialties

  • Registered Nurse Primary
    Definition to come...
    SC license #107470 taxonomy 163WC1500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 217 Registered Nurse providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related