Active NPI
R C Hendrix
- Driver
- Crystal Springs, MS
National Provider Identifier
1871822262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 001682184
- Practice address
- 206 W Railroad Ave S
Crystal Springs, MS 39059-2772 - Phone
- (601) 487-3797
- NPI assigned
- Dec 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | 001682184 | MS | Primary |
Addresses
Primary practice location
206 W Railroad Ave S
Crystal Springs, MS 39059-2772
Mailing address
206 W Railroad Ave S
Crystal Springs, MS 39059-2772
Phone (601) 487-3797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001682184 | MS | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copiah County Family Resource Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Social Worker
- Crystal Springs, MS
- NPI 1063742674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1871822262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W RAILROAD AVE S",
"city": "CRYSTAL SPRINGS",
"state": "MS",
"postal_code": "390592772",
"telephone_number": "601-487-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W RAILROAD AVE S",
"city": "CRYSTAL SPRINGS",
"state": "MS",
"postal_code": "390592772",
"telephone_number": "601-487-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "R",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MS",
"license": "001682184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.