NPIMap

Individual provider Active NPI

Ernest Lee Hendrix, M.D.

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1831182567
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16454 Issued in AL
Practice address
108 Sanders St
Athens, AL 35611-2418
Phone
(256) 230-1116
Fax
(256) 230-1156
NPI assigned
Aug 29, 2005
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16454 AL Primary

Addresses

Primary practice location

108 Sanders St
Athens, AL 35611-2418

Mailing address

108 Sanders St Ste D
Athens, AL 35611-2473
Phone (256) 230-1116

Other identifiers 4

IdentifierTypeStateIssuer
51518076OtherALBLUE CROSS PROVIDER NUMBE
1749176OtherALFIRST HEALTH PROVIDER NUM
4034620OtherALAETNA PROVIDER NUMBER
009933705MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502001041 AL Practitioner - Family Practice 4981643657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ernest L Hendrix MD PCGroup PAC ID 4486671211, 3 clinicians

Practice addresses (Care Compare)

108 Sanders St
Suite D
Athens, AL 35611-2473
Phone (256) 230-1116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16454ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest L Hendrix MD PC Family Medicine CurrentSince Nov 1, 2003 Accepting new patients
HH Health System - Athens Limestone, LLC Past Accepting new patients

Locations

108 Sanders St
Athens, AL 35611
Phone (256) 230-1116

108 Sanders St
Ste D
Athens, AL 35611
Phone (256) 230-1116

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.332764

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1831182567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SANDERS ST STE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112473",
            "telephone_number": "256-230-1116",
            "fax_number": "256-230-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112418",
            "telephone_number": "256-230-1116",
            "fax_number": "256-230-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "ERNEST",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "16454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "51518076",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER NUM",
            "identifier": "1749176",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4034620",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933705",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.