Active NPI
Stephen Gregory Hendrix, M.D.
- Allergy Physician
- Savannah, GA
National Provider Identifier
1154329951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 023459
- Practice address
- 1326 Eisenhower Dr
BLDG. 2
Savannah, GA 31406-3928 - Phone
- (912) 527-5270
- Fax
- (912) 527-5279
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 023459 | GA | Primary |
| Pulmonary Disease Physician | 207RP1001X | 023459 | GA |
Addresses
Primary practice location
1326 Eisenhower Dr
BLDG. 2
Savannah, GA 31406-3928
Mailing address
1326 Eisenhower Dr
BLDG. 2
Savannah, GA 31406-3928
Phone (912) 527-5270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408552 | Other | GA | BCBS |
| G23459 | Medicaid | SC | |
| 000251512H | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100603000336 | GA | Practitioner - Pulmonary Disease | 6103966916 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023459 | GA | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Foot & Ankle Center, P.C. | Past | Accepting new patients |
Interoperability endpoints
- stephenhendrix@scmgllc.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Savannah, GA
- NPI 1952396764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1154329951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"address_2": "BLDG. 2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-527-5270",
"fax_number": "912-527-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"address_2": "BLDG. 2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-527-5270",
"fax_number": "912-527-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "STEPHEN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "GA",
"license": "023459",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "023459",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "408552",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G23459",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000251512H",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.