Individual provider

Jeffrey Pence, MD

Pediatric Surgery Physician Medicare enrolled

Jeffrey Pence, MD is a Pediatric Surgery Physician in Marietta, GA, registered under NPI 1629063722.

Getting there

The practice address on file is 175 WHITE ST NW STE 200, Marietta, GA 30060. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

175 WHITE ST NW STE 200, Marietta, GA 30060 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9500178 NC Pediatric Surgery Physician
35.092404 OH Pediatric Surgery Physician
0101277715 VA Pediatric Surgery Physician
2086S0120X GA Pediatric Surgery Physician primary

Licences are recorded in 4 states: NC, OH, VA, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Surgery
PAC ID
6800184789

Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: Georgia, North Carolina, Ohio and Virginia. The practice address on file is in Marietta, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia practice address
Licence
2086S0120X
Specialty
Pediatric Surgery Physician
Verify with the GA board →
NC North Carolina
Licence
9500178
Specialty
Pediatric Surgery Physician
Verify with the NC board →
OH Ohio
Licence
35.092404
Specialty
Pediatric Surgery Physician
Verify with the OH board →
VA Virginia
Licence
0101277715
Specialty
Pediatric Surgery Physician
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Surgery covers

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. NUCC Health Care Provider Taxonomy, code 2086S0120X
Allopathic & Osteopathic Physicians Surgery Pediatric Surgery

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2086S0120X Pediatric Surgery Physician Pediatric Surgery 9500178 NC
2086S0120X Pediatric Surgery Physician Pediatric Surgery 35.092404 OH
2086S0120X Pediatric Surgery Physician Pediatric Surgery 0101277715 VA
2086S0120X Pediatric Surgery Physician Pediatric Surgery 2086S0120X GA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629063722 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 14, 2005
Last updatedJul 25, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 175 WHITE ST NW STE 200
Marietta, GA 30060
(943) 202-7820
Mailing address 213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
Other identifiers 12334 · BCBS NC (NC)
2881645 (OH)
370015118 · Railroad Medicare (NC)
8912334 (NC)
This record was updated on Jul 25, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1629063722 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 0 6 3 7 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 0 6 6 7 4

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629063722?
NPI 1629063722 is the National Provider Identifier assigned to Jeffrey Pence, MD in Marietta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Surgery cover?
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
How do I contact Jeffrey Pence, MD?
The phone number on file with NPPES is (943) 202-7820, last updated Jul 25, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jeffrey Pence, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629063722 a valid number?
Yes. 1629063722 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.