Individual provider Active NPI

Paul Winger Hendrix, D.O.

  • Maternal & Fetal Medicine Physician
  • North Chesterfield, VA
National Provider Identifier
1306039730
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
102202525 Issued in VA
Practice address
1401 Johnston Willis Dr Ste 5500
North Chesterfield, VA 23235-4730
Phone
(804) 560-5827
Fax
(804) 560-5845
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 102202525 VA
Maternal & Fetal Medicine Physician 207VM0101X 102202525 VA Primary

Addresses

Primary practice location

1401 Johnston Willis Dr Ste 5500
North Chesterfield, VA 23235-4730

Mailing address

P O Box 741030
Atlanta, GA 30384-1030
Phone (804) 560-5837

Other practice location 1

36000 Darnall Loop
Crdamc
Fort Hood, TX 76544-5095
Phone (860) 286-7917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20190730002301 VA Practitioner - Obstetrics/Gynecology 0941441604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Perinatal Services LLCGroup PAC ID 1658404991, 6 clinicians

Practice addresses (Care Compare)

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 560-5827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
102202525VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Aug 19, 2019 Accepting new patients
Spotsylvania Medical Center Inc. Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4604 Spotsylvania Pkwy
Ste 300
Fredericksburg, VA 22408
Phone (540) 423-6600

4604 Spotsylvania Pkwy
Ste 110
Fredericksburg, VA 22408
Phone (540) 498-4030

1401 Johnston Willis Dr
Ste 5500
North Chesterfield, VA 23235
Phone (804) 560-5827

1051 Johnston Willis Dr
Ste 110
North Chesterfield, VA 23235
Phone (804) 483-5827

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7601 Forest Ave
Ste 336
Richmond, VA 23229
Phone (804) 289-4972

Interoperability endpoints

  • Direct secure messaging: paul.hendrix@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1306039730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 741030",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841030",
            "telephone_number": "804-560-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR STE 5500",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-560-5827",
            "fax_number": "804-560-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36000 Darnall Loop",
            "address_2": "CRDAMC",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "765445095",
            "country_code": "US",
            "telephone_number": "860-286-7917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "PAUL",
        "middle_name": "WINGER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "102202525",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "VA",
            "license": "102202525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.