Wendell Oliver Hackney, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

024684 Issued in GA

Practice address

7193 Jonesboro Rd
FL 1
Morrow, GA 30260-2961

Phone

(404) 522-4888

Fax

(404) 581-0379

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wendell O Hackney MD & Gregory a Smith PC

  • Gynecology Physician
  • Atlanta, GA
  • NPI 1467415257

  Obstetrics & Gynecology

  NPD Authorized official
• Tracey R. Lemon, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1588848485
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1770547101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7193 JONESBORO RD",
            "address_2": "FL 1",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602961",
            "telephone_number": "770-961-2508",
            "fax_number": "770-961-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7193 JONESBORO RD",
            "address_2": "FL 1",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602961",
            "telephone_number": "404-522-4888",
            "fax_number": "404-581-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKNEY",
        "first_name": "WENDELL",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "024684",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "024684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "476807",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000258871",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "238229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy L Gibbons, D.D.S
• Lekisha Yvette Glenn, MS, NCC, LAPC
• Joel A Goldstein, MD
• Good Shepherd Clinic
• Shanna Green
• Percina Lynette Hale
• Amadi Hall
• Roy Everette Hall, MD
• Tamra S Hall, LCSW
• Brandon Lane Hammond, DMD

• Gynecology Physician in Morrow, GA
• Providers in Morrow, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.