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NPI · 1124885918 · NPPES-sourced

Colton Pendley PA-C

ActiveSurgical Physician Assistant
NPI Number
1124885918
Type 1 · Individual
Taxonomy Code
363AS0400X
Contact
(903) 939-7728
License TX · PA17878
Last Updated
About 11 months ago (Jun 2025)
Enumerated 2024-02-28
Primary practice addressTX · 75701
3414 Golden RdTyler, TX 75701
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About this NPIWhat this record shows.

NPI 1124885918 is registered to Colton Pendley PA-C, a Surgical Physician Assistant practising at 3414 Golden Rd in Tyler, Texas. Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Colton Pendley PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2024.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2024-02-28
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Colton Pendley PA-C accepts. To confirm in-network status with your specific health plan, contact Colton Pendley PA-C directly at (903) 939-7728.

Frequently asked

Yes. NPI 1124885918 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (903) 939-7728.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Colton Pendley PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AS0400X
Last updated2025-06
Enumerated2024-02-28
StatusActive
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