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

MS. Beth Ann Pendergraph, PA

Individual provider Medical Physician Assistant · NPI 1881723682

MS. Beth Ann Pendergraph, PA is a Physician Assistant in Lagrange, Georgia. Qualified in 2006, 20 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1805 Vernon Rd Ste B
Lagrange, GA 30240-3871
Phone: (706) 884-2691
Fax: (706) 845-7314
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0048DO (GA)

Record details

NPI number1881723682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJanuary 24, 2012
Mailing address127 Cove Hollow Rd, Fortson, GA 31808-4353

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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