Alicia Pendergrass
FNP | Nurse Practitioner - Obstetrics & Gynecology | 10+ years Exp
1 Wellness Blvd Ste 203, Irmo
South Carolina, 29063-2873
803-749-9920
Alicia Pendergrass is a Irmo, South Carolina based nurse practitioner with 10 years of experience in Obstetrics & Gynecology. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Alicia Pendergrass is 19686 for Family in South Carolina. Her current practice location is 1 Wellness Blvd Ste 203, Irmo. Patients can reach her at 803-749-9920 or can fax her at 803-749-9916. Alicia Pendergrass is FNP with specialization in Obstetrics & Gynecology and her NPI number (Unique professional ID assigned by NPPES) is 1063883767.
Alicia Pendergrass has additional training in subspecialties specific to female reproductive and sexual health, so her focus is on treating women who are of reproductive age in matters related to fertility and childbirth.
Obstetrics & Gynecology Nurse Practitioner (OGNP) takes care of pregnant women before, during, and immediately after labor, and may oversee the birthing process. OBNPs also care for women's health-related needs, such as routine pelvic exams, birth control advice, and other reproductive health issues.
Complete Profile:
Alicia Pendergrass speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Alicia Pendergrass |
| Specialization: | Obstetrics & Gynecology Nurse Practitioner (OGNP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1 Wellness Blvd Ste 203, Irmo,
South Carolina, 29063-2873 |
| Phone: | 803-749-9920 |
| Fax: | 803-749-9916 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4981904398 |
| Enrollment ID: | I20151207002142 |
| NPI Number: | 1063883767 |
| NPI Enumeration Date: | 07 Oct, 2015 |
| NPI Last Update On: | 18 Aug, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alicia Pendergrass are as mentioned below.
| License Number | Specialization | State | Status | |
| 19686 | Family | South Carolina | Primary | |
| 19686 | Obstetrics & Gynecology | South Carolina | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (420073) | West columbia, SC | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Alicia Pendergrass is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Lexington Health Inc (2567872070) | 708 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Alicia Pendergrass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NP3611 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Alicia Pendergrass
Po Box 6069,
West Columbia, South Carolina |
| Zip: | 29171-6069 |
| Phone Number: | 803-749-9920 |
| Fax Number: | 803-749-9916 |
Patients can reach Alicia Pendergrass at
1 Wellness Blvd Ste 203, Irmo, South Carolina or can
call to book an appointment on 803-749-9920.
Comments/ Reviews:
Patients can read all the reviews posted for Alicia Pendergrass below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Alicia Pendergrass. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.