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

Dr. Craig L Pendergrass, DO

Individual provider Family Medicine Physician · NPI 1700835469

Dr. Craig L Pendergrass, DO is a Family Practice in Neosho, Missouri. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 1994, 32 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
32
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
MO
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

117 E Hickory St
Neosho, MO 64850-1806
Phone: (417) 451-4545
Fax: (417) 451-4546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 110888 (MO)

Record details

NPI number1700835469
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing addressPo Box 220, Neosho, MO 64850-0220

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Group practice Sgoh Acquisition Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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