Cornell Pendletom
Driver • Spotsylvania, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cornell Pendletom has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Cornell Pendletom was a registered Driver practicing in Spotsylvania, VA. Throughout an active medical career spanning 9 years, Cornell Pendletom provided care at the practice location at 6455 HICKORY RIDGE RD until profile deactivation on 2026-05-28.
Practice Location & Contact Primary Location
6455 Hickory Ridge Rd
Spotsylvania, VA 225512456
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Spotsylvania, VA
Practicing in Spotsylvania, VA (655 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 28, 2026
NPI status registered as active in NPPES database
Registered at 6455 HICKORY RIDGE RD, SPOTSYLVANIA, VA 225512456 (Tel: 5403797204)
Registered at 6455 HICKORY RIDGE RD, SPOTSYLVANIA, VA 225512456
Recorded as CORNELL PENDLETOM
Driver (License #T63451175 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6455 Hickory Ridge Rd
Spotsylvania, VA 225512456
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