Individual provider Active NPI

Peyton Grace Hendricks, PA-C

  • Physician Assistant
  • Apex, NC
National Provider Identifier
1851110951
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14667 Issued in NC
Practice address
2080 Energy Dr
Apex, NC 27502-8722
Phone
(919) 328-5573
NPI assigned
Oct 7, 2024
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14667 NC Primary

Addresses

Primary practice location

2080 Energy Dr
Apex, NC 27502-8722

Mailing address

2080 Energy Dr
Apex, NC 27502-8722
Phone (919) 328-5573

Other practice location 1

13251 Falls Of Neuse Rd Ste 121
Raleigh, NC 27614-8573
Phone (919) 785-5055

Other practice location 2

1829 E Franklin St
Chapel Hill, NC 27514-5861
Phone (919) 933-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250110000160 NC Practitioner - Physician Assistant 1951839562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina Neuropsychiatry PAGroup PAC ID 4789643982, 8 clinicians

Practice addresses (Care Compare)

1829 E Franklin St
Suite 400
Chapel Hill, NC 27514-5865
Phone (919) 933-2000

2080 Energy Dr
Apex, NC 27502-8722
Phone (919) 328-5573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-14667NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Neuropsychiatry, P.a. CurrentSince Jan 26, 2025 Accepting new patients
North Carolina Therapy Professionals, PLLC Past Accepting new patients

Locations

2080 Energy Dr
Apex, NC 27502
Phone (919) 328-5573

13251 Falls of Neuse Rd
Ste 121
Raleigh, NC 27614
Phone (919) 562-4220

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1851110951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 ENERGY DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028722",
            "telephone_number": "919-328-5573",
            "fax_number": "984-235-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 ENERGY DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028722",
            "telephone_number": "919-328-5573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13251 Falls Of Neuse Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276148573",
            "country_code": "US",
            "telephone_number": "919-785-5055",
            "fax_number": "984-235-1617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1829 E Franklin St",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275145861",
            "country_code": "US",
            "telephone_number": "919-933-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "PEYTON",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.