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

Individual provider Pediatrics Physician · NPI 1255425989

Desiree Buehler Pendergrass, MD is a Pediatrics Physician in Jackson, Mississippi. Licensed in Mississippi and Texas. Registered with an NPI since 2006.

Licensed in
MS, TX
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-8982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 24712 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence H4609 (TX)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence H4609 (TX)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 24712 (MS)

Record details

NPI number1255425989
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESFebruary 17, 2017
Mailing address2500 N State St, Jackson, MS 39216-4500

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