Active NPI
Stacy M Hendrix, FNP-C
- Family Nurse Practitioner
- Cedartown, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN190785
- Practice address
- 118 E Girard Ave
Cedartown, GA 30125-2712 - Phone
- (678) 246-5174
- NPI assigned
- Jul 17, 2018
- Last updated
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN190785 | GA | Primary |
Addresses
Primary practice location
118 E Girard Ave
Cedartown, GA 30125-2712
Mailing address
13570 N Main St
Trenton, GA 30752-2012
Phone (706) 956-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003147280A | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Chattahoochee Dr
Rockmart, GA 30153-2023
Phone (770) 684-7846
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.9 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN190785 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| Apogee Medical Group Georgia Inc | Current | Accepting new patients | |
| Chronic Disease Management of Georgia, LLC | Current | Accepting new patients |
Locations
3540 Cobb Pkwy NW
Acworth, GA 30101
Phone (770) 974-3911
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076
1650 Chattahoochee Dr
Rockmart, GA 30153
Phone (770) 684-7846
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Interoperability endpoints
- shendrix2951973@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
dba Atrium Health Floyd Primary Care
- Family Medicine Physician
- Rome, GA
- NPI 1689610149
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
-
- Physical Medicine & Rehabilitation Physician
- Monroe, GA
- NPI 1699300939
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1386120889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13570 N MAIN ST",
"city": "TRENTON",
"state": "GA",
"postal_code": "307522012",
"telephone_number": "706-956-2665",
"fax_number": "706-657-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E GIRARD AVE",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301252712",
"telephone_number": "678-246-5174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "STACY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN190785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003147280A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedartown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.