DR. MARK JACOB PENDERGRASS (NPI# 1891038642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891038642 |
| Entity Type | Individual |
| Full Name | DR. MARK JACOB PENDERGRASS |
| Credential | D.C. |
| Practice Address |
325 Sam Ridley Pkwy W Smyrna TN 37167-5625 |
| Practice Telephone | 6152390907 |
| Mailing Telephone | 6152390907 |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2587 | TN | Chiropractic Providers |
| Street Address |
325 SAM RIDLEY PKWY W |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-5625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033459565 | Elizabeth A Pendergrass | Chiropractor | 325 Sam Ridley Pkwy W, Smyrna, TN 37167-5625 | 2013-02-20 |
| 1124369806 | Rock Springs Family Chiropractic | Chiropractor | 325 Sam Ridley Pkwy W, Smyrna, TN 37167-5625 | 2013-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761285 | Jennifer Bledsoe | Chiropractor | 4949 Oakdale Rd Se, Smyrna, GA 30080-7118 | 2020-08-21 |
| 1598397499 | Kristian Rainge-campbell | Chiropractor | 2463 Post Village Dr Se, Smyrna, GA 30080-2306 | 2020-02-07 |
| 1104456243 | Hayley Grace Pennell | Chiropractor | 2121 Lake Park Dr Se Apt G, Smyrna, GA 30080-8951 | 2020-01-16 |
| 1760032650 | Carmi Verano | Chiropractor | 577 Concord Rd Se Ste B, Smyrna, GA 30082-2613 | 2019-09-12 |
| 1588141204 | Elevating Health Enterprises Ltd Co | Chiropractor | 4949 Oakdale Rd Se Apt 813, Smyrna, GA 30080-7173 | 2018-07-25 |
| 1033608088 | Jessica Ann Nelson | Chiropractor | 1947 Kenwood Pl Se, Smyrna, GA 30082-5144 | 2018-05-05 |
| 1518455450 | Building Back Essentials (bbe) Chiropractic and Wellness | Chiropractor | 1600 Roswell St Se Ste 11, Smyrna, GA 30080-2227 | 2018-04-26 |
| 1780188920 | Kevin Wayne Kersee Jr. | Chiropractor | 1116 Woodlands Dr Se, Smyrna, GA 30080-2452 | 2018-03-21 |
| 1629487335 | Tennessee Chiropractic Alliance, Pllc | Chiropractor | 875 Seven Oaks Blvd, Suite 430, Smyrna, TN 37167-6223 | 2014-08-06 |
| 1861815169 | Derrick Lamonye Dawson Jr. | Chiropractor | 4571 Valley Pkwy Se Apt J, Smyrna, GA 30082-4942 | 2014-01-23 |
| Find all providers in SMYRNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.