Individual provider Active NPI

Rebecca A Hendrix, FNP

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1710129846
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14085 Issued in TN
Practice address
2570 Blackmon Dr Ste 400
Decatur, GA 30033-6197
Phone
(470) 737-9955
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14085 TN Primary

Addresses

Primary practice location

2570 Blackmon Dr Ste 400
Decatur, GA 30033-6197

Mailing address

2570 Blackmon Dr Ste 400
Decatur, GA 30033-6197
Phone (423) 643-3772

Other practice location 1

7446 Shallowford Rd Ste 200
Chattanooga, TN 37421-8819
Phone (423) 643-3772

Other identifiers 1

IdentifierTypeStateIssuer
4223150OtherTNBC TN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221117000174 GA Order and Referring Only - Nurse Practitioner 8729136783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14085TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Express Care, PLLC Past Accepting new patients
Hamilton Family Practice, LLC Past Accepting new patients

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1710129846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 BLACKMON DR STE 400",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336197",
            "telephone_number": "423-643-3772",
            "fax_number": "423-643-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 BLACKMON DR STE 400",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336197",
            "telephone_number": "470-737-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7446 Shallowford Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374218819",
            "country_code": "US",
            "telephone_number": "423-643-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC TN",
            "identifier": "4223150",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.