NPI age
19 years
Enumerated 2007-01-23
● Active
Type 1 · Individual
Shanthan Pendem, MD
Pendem is 1 of 2 internal medicine providers in Braselton and 1 of 221 in Georgia.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, ND
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 221 active internal medicine providers in Georgia.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 61% — 38% of peers are multi-state
Subspecialties
1
In the 81% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
1400 River Pl
Braselton, GA 305175600
Mailing address
Po Box 742616
Atlanta, GA 303742616
Specialties
-
Internal Medicine PrimaryAn internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ND) | P00256319 | RR MEDICARE |
| 05 (ND) | 13617 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 41 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.
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