Tiffany Marie Hendricks, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26690 Issued in AL

Practice address

2699 Sandlin Rd SW
Suite B8
Decatur, AL 35601-7344

Phone

(256) 301-0560

Fax

(256) 301-0563

NPI assigned

Jun 10, 2006

Last updated

Aug 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffanyhendricks@tdh.allscriptsdirect.net

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.

• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Wetumpka, AL
  • NPI 1568874543
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567
  NPD
• Apollo Urgent Care LLC

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1801802129
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1659312494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 SANDLIN RD SW",
            "address_2": "SUITE B8",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356017344",
            "telephone_number": "256-301-0560",
            "fax_number": "256-301-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 SANDLIN RD SW",
            "address_2": "SUITE B8",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356017344",
            "telephone_number": "256-301-0560",
            "fax_number": "256-301-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "26690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela R Helseth, BCBA
• Lee Walt Henderson, PHARMD
• Paul Glenn Henderson, PT
• Hendrick Care Group LLC
• Hendricks Family Practice, PC
• Rachel Henley
• Donald Wayne Henry Jr.
• Tanya Herbster, LPN
• Alejandra C Hernandez
• Baleen Hernandez

• Family Medicine Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.

Verify at the official NPI Registry.