NPIMap

Individual provider Active NPI

Trevor Elton Hendricks, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1851988257
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10920 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 391-7746
NPI assigned
Dec 31, 2020
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-10920 NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

200 Villa Dr
Fayetteville, NC 28311-1306
Phone (910) 391-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210319001556 NC Practitioner - Physician Assistant 9436566338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Dec 15, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 12, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 12, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 15, 2025 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

10648 Park Rd
Charlotte, NC 28210
Phone (704) 355-9330

1100 Blythe Blvd
Charlotte, NC 28203
Phone (704) 355-4300

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

487 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 403-0100

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

920 Church St N
Ste 255
Concord, NC 28025
Phone (704) 403-1331

1130 Tree of Life Ln
Cornelius, NC 28031
Phone (704) 512-2000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

  • Direct secure messaging: thendricks74816@capefearvalley.direct-ci.com

Organizations & group practices 10

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1851988257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VILLA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111306",
            "telephone_number": "910-391-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-391-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "TREVOR",
        "middle_name": "ELTON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-31",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.