Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316061955 Individual Practitioner Male Practitioner

Dr. Mark James Pendergast , DC

Chiropractor • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Pendergast, DC is a registered healthcare professional specializing in Chiropractor in Suwanee, GA. Practice services are available at 245 PEACHTREE IND BLVD #100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

245 Peachtree Ind Blvd #100

Suwanee, GA 30022

Telephone 6785410777
Associated Practice Facility / Clinic
🏢 Apex Healthcare Facility NPI 1679801658

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
48 Specialists

Practicing in Suwanee, GA (3375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA CHIRO07830

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Amanda Susten , PT

Physical Therapist

NPI 1134369234

Physical Therapist

NPI 1407970049

Doctor of Chiropractic

Adaky Taylor , PA-C

Physician Assistant

NPI 1568903722

Physician Assistant (Certified)

Opal White , NP

General Practice

NPI 1720395056

Nurse Practitioner

Jeffrey Forbrick , NP-C

Nurse Practitioner

NPI 1841611761

Nurse Practitioner (Certified)

NPI 1942577457

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 245 PEACHTREE IND BLVD #100, SUWANEE, GA 30022 (Tel: 6785410777)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10945 STATE BRDG RD #401-294, ALPHARETTA, GA 30022 (Tel: 6785410777)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK PENDERGAST, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #CHIRO07830 in GA)

🟢
Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316061955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

10945 State Brdg Rd #401-294

Alpharetta, GA 30022

Phone: 6785410777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.