DEREK PAUL PENDARVIS MD NPI 1104806108

NPI Information

  • NPI: 1104806108
  • Provider Name: DEREK PAUL PENDARVIS, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 JESSE JEWELL PKWY SE
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (770) 536-2323

Map and Directions

Get Directions

NPI Details

Derek Paul Pendarvis, MD is a surgery in Gainesville, GA with 29 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Derek Paul Pendarvis, MD NPI is 1104806108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

725 JESSE JEWELL PKWY SE
GAINESVILLE, GA
ZIP 30501-834
Phone: (770) 536-2323
Fax: (770) 536-4947

The NPI 1104806108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasonic guidance during surgery (HCPCS:76998)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Fine needle aspiration biopsy using ultrasound guidance, each additional growth (HCPCS:10006)
  • Removal or exploration of parathyroid glands (HCPCS:60500)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal of gallbladder with x-ray study of bile ducts using an endoscope (HCPCS:47563)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Mastectomy (HCPCS:NAN04)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/18/2006 and was last updated on 5/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery049933GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11700231OTHERGEORGIAUNITED HEALTHCARE
2000904274AMEDICAIDGEORGIA
310045029OTHERGEORGIAAMERIGROUP
452843776OTHERGEORGIABCBS
5000904274BMEDICAIDGEORGIA
6341106OTHERGEORGIAWELLCARE
77816063OTHERGEORGIACIGNA
820050660OTHERGEORGIARR MEDICARE-GRP # CC4177

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.