Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Desiree Buehler Pendergrass, M.D.
Pediatrics Physician in Jackson, MS · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1255425989
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Registry record
Entity type Individual (Type 1)
Name Desiree Buehler Pendergrass
Credential M.D.
Sex Female
Practice address 2500 N State St, Jackson, MS, 39216
Phone (601) 815-8982
Enumeration date Oct 3, 2006
Last updated in NPPES Feb 17, 2017
Taxonomy & licenses
2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians · License H4609 (TX) Secondary
2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians · License 24712 (MS) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05359595 | Medicaid | MS | - |
| 08907561 | Other | TX | NM MEDICAID |
| 8J1510 | Other | TX | MEDICARE |
| 132232307 | Other | TX | TMHP |
| 155349101 | Other | TX | FIRSTCARE MEDICAID |
| 8G6058 | Other | TX | BC/BS |
| 200101350A | Other | TX | OK MEDICARE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Desiree Pendergrass?
Desiree Pendergrass is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → University Ophthalmology Associates Ophthalmology Physician · Jackson, MS NPI 1477556231 George Russell Orthopaedic Trauma Physician · Jackson, MS NPI 1629072509 Lori Reed Orthopaedic Foot and Ankle Surgery Physician · Jackson, MS NPI 1285639955 Brian Crabtree Psychiatric Pharmacist · Jackson, MS NPI 1770580961 Jack Lewin Anatomic Pathology Physician · Jackson, MS NPI 1033117445 Robin Christian Family Nurse Practitioner · Jackson, MS NPI 1245230887 John Bethea Anesthesiology Physician · Jackson, MS NPI 1568462141 Linda Brodell Ophthalmology Physician · Jackson, MS NPI 1043210321
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-17.