Harley Hendrix, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

82114 Issued in GA

Practice address

159 W. Railroad Street
Pembroke, GA 31321

Phone

(912) 653-2897

Fax

(912) 653-4299

NPI assigned

Jun 13, 2016

Last updated

Aug 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SJC Medical Group IncGroup PAC ID 7719978105, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's/ Candler Home Healthcare Home health agency, Hinesville, GA, CCN 117082
• Centerwell Home Health Home health agency, Statesboro, GA, CCN 117033
• St Joseph's Hospital - Savannah Hospital, Savannah, GA, CCN 110043
• Candler Hospital Hospital, Savannah, GA, CCN 110024
• Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drhendrixh@direct.sjchs.org
• Direct secure messaging: harley.hendrix@sjcmg.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EGDCBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SJC Medical Group Inc

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1811233828
  Medicare reassignment Care Compare group NPD
• Saint Josephs Medical Group Inc

  • Family Medicine Physician
  • Pembroke, GA
  • NPI 1154349850
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Evans Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Claxton, GA
  • NPI 1730110826
  Care Compare affiliation
• Healthfield of Statesboro, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Statesboro, GA
  • NPI 1942230750
  Care Compare affiliation
• Saint Joseph's Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  Care Compare affiliation
• SJC Home Health Services Inc

  dba St. Joseph's/Candler Home Healthcare

  • Home Health Agency
  • Hinesville, GA
  • NPI 1992799449
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1003265836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E. 65TH STREET",
            "address_2": "SUITE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W. RAILROAD STREET",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "31321",
            "telephone_number": "912-653-2897",
            "fax_number": "912-653-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "HARLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL39508",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "82114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis V. Cooper Primary Health Care Inc.
• Effingham Rehab Services, LLC (CORA Physical Therapy - Pembroke)
• Sharon Estill, RN
• Gateway Behavioral Health Services
• Courtney Hare, PT, DPT
• Karen H Herring, RDMS (AB) (BR)(OBGYN
• Embry Mayes Kendrick, OD
• Alayne Kittle, RN, BSN
• Jennifer Jordan Lander, P. T.
• Aris Jade Lonon

• Family Medicine Physician in Pembroke, GA
• Providers in Pembroke, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.