Individual provider Active NPI

John Walter Hendrix III, M.D.

  • Internal Medicine Physician
  • Anderson, SC
National Provider Identifier
1538283718
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29030 Issued in SC
Practice address
1501 E Greenville St
Anderson, SC 29621-2004
Phone
(423) 926-2358
Fax
(423) 926-2680
NPI assigned
Mar 16, 2007
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29030 SC Primary

Addresses

Primary practice location

1501 E Greenville St
Anderson, SC 29621-2004

Mailing address

2717 E Oakland Ave
Johnson City, TN 37601-1843
Phone (423) 926-2358

Other practice location 1

408 West Alexander Avenue
Greenwood, SC 29646-4031
Phone (864) 227-9393

Other identifiers 1

IdentifierTypeStateIssuer
290303MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090924000211 SC Practitioner - Internal Medicine 3577619014 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renuven Aco PLLC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Integrated Health Transitions, PLLC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Alliance Inpatient Medicine Internal Medicine PastSince Mar 1, 2015 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

1501 E Greenville St
Anderson, SC 29621
Phone (864) 226-8356

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1538283718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212004",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 West Alexander Avenue",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464031",
            "country_code": "US",
            "telephone_number": "864-227-9393",
            "fax_number": "864-227-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "29030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290303",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.