Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Pendergrass, FNP

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1063883767

Alicia Pendergrass, FNP is a Nurse Practitioner in Irmo, South Carolina. Qualified in 2015, 11 years ago. Practices with Lexington Health Inc, a 903-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1 Wellness Blvd Ste 203
Irmo, SC 29063-2873
Phone: (803) 749-9920
Fax: (803) 749-9916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 811 W Main St Ste 201&209, Lexington, SC 29072-2507 — (803) 785-4777

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19686 (SC)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence 19686 (SC)

Record details

NPI number1063883767
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lexington Health Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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