Active NPI
Richard Hendrick, MD
- Internal Medicine Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 07991
- Practice address
- 845 S Madison St
Tupelo, MS 38801-4905 - Phone
- (662) 377-5930
- Fax
- (662) 377-5085
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 07991 | MS | Primary |
Addresses
Primary practice location
845 S Madison St
Tupelo, MS 38801-4905
Mailing address
845 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-5930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115114 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07991 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185
176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
Interoperability endpoints
- richardhendrick@nmhs.medalliesdirect.net
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Amory, MS
- NPI 1467856385
-
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Critical Access Hospital
- Pontotoc, MS
- NPI 1821103516
-
- Hospitalist Physician
- Clarksdale, MS
- NPI 1710371679
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tupelo, MS
- NPI 1033585328
-
- Critical Access Hospital
- Pontotoc, MS
- NPI 1962512871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1770559841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014905",
"telephone_number": "662-377-5930",
"fax_number": "662-377-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014905",
"telephone_number": "662-377-5930",
"fax_number": "662-377-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICK",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "07991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115114",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.