Active NPI
Jean Bridges Hendrix, SLP
- Speech-Language Pathologist
- Watkinsville, GA
National Provider Identifier
1619370657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP001685
- Practice address
- 1091 Park Dr
Suite B
Watkinsville, GA 30677-2014 - Phone
- (770) 207-6390
- Fax
- (678) 374-4855
- NPI assigned
- Oct 5, 2014
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP001685 | GA | Primary |
Addresses
Primary practice location
1091 Park Dr
Suite B
Watkinsville, GA 30677-2014
Mailing address
1091 Park Dr
Suite B
Watkinsville, GA 30677-2014
Phone (770) 207-6390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP001685 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412467200000",
"number": "1619370657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1091 PARK DR",
"address_2": "SUITE B",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306772014",
"telephone_number": "770-207-6390",
"fax_number": "678-374-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 PARK DR",
"address_2": "SUITE B",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306772014",
"telephone_number": "770-207-6390",
"fax_number": "678-374-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "JEAN",
"middle_name": "BRIDGES",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-05",
"last_updated": "2014-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP001685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watkinsville, GA
- Tyra Shonterria Hawkins
- Health 1St Chiropractic and Rehabilitation, Inc.
- Healthfirst Family Chiropractic, P.C.
- Heart to Heart Speech Therapy, LLC
- Amy Kristiana Heesacker, PHD
- Paul A Henkel, DO
- Shannon Wilson Henslee, MPA, MSED, ATC, PA-C
- Kaleigh Hernandez, OT
- Amanda Herrington, RBT
- Hey, You Need Therapy.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.