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

Dr. W. Jefferson Pendergrast Jr., MD

Individual provider Specialist · NPI 1376603894

Dr. W. Jefferson Pendergrast Jr., MD is a Specialist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
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

2505 Flair Knoll Ct NE
Atlanta, GA 30345-1311
Phone: (404) 636-2332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 015409 (GA)

Record details

NPI number1376603894
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESApril 14, 2011

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