NPI age
20 years
Enumerated 2005-09-14
● Active
Type 1 · Individual
DR. Jeffrey Carl Pence, MD
Pence is 1 of 2 surgery providers in Marietta and 1 of 36 in Georgia.
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
GA, NC, OH, VA
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 36 active surgery providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
4 states
Top 80% — 19% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
175 White St Nw Ste 200
Marietta, GA 300607901
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 240111713
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
3333 W Tech Rd
Miamisburg, OH 453420955
Location 3
1 Childrens Plz
Dayton, OH 454041815
Location 4
4348 Electric Rd
Roanoke, VA 240180720
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 2881645 | |
| 05 (NC) | 8912334 | |
| 01 (NC) | 12334 | BCBS NC |
| 01 (NC) | 370015118 | RAILROAD MEDICARE |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 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 →
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