# PDS GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366122566
- **Authorized official:** MR. JAMES PENTICUFF JR. (MANAGING MEMBER)
- **Authorized official phone:** (317) 349-7680

## Contact information

- **Practice address:** 2550 S FLAT ROCK RD, BLOOMINGTON, IN 47403-3285
- **Practice address phone:** (317) 349-7680
- **Practice address fax:** (833) 975-0724
- **Mailing address:** 2550 S FLAT ROCK RD, BLOOMINGTON, IN 47403-3285
- **Mailing address phone:** (317) 349-7680
- **Mailing address fax:** (833) 975-0724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | — | NULL | — |
| 163WA2000X | Administrator Registered Nurse | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 174H00000X | Health Educator | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 246QM0706X | Medical Technologist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2023
- **Last updated:** 07/23/2026