GARY I HENDRICKER M.D.
NPI 1013930510
Internal Medicine in Tallapoosa, GA

Active since July 25, 2006
25 W LYON ST, TALLAPOOSA, GA 30176(770) 824-2800(770) 824-2810 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary I Hendricker M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY I HENDRICKER M.D. (NPI 1013930510) is an individual internal medicine provider in Tallapoosa, Georgia, licensed in Georgia (029670) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1013930510
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGARY I HENDRICKERCredential: M.D.
Location Address25 W LYON STTallapoosa, GA 30176-1288
Mailing Address119 Ambulance Dr, Suite 202Carrollton, GA 30117-3857 · (770) 838-8710 · Fax (770) 838-8563
Fax(770) 824-2810
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJune 22, 2010
NPI 1013930510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 029670
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

25 W LYON ST, Tallapoosa, GA 30176

Other Identifiers 1

Medicare UPINC46065

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
25 W LYON ST
TALLAPOOSA, GA 30176
Clinic/Center (Rural Health)
25 W LYON ST
TALLAPOOSA, GA 30176
Family Medicine
25 W LYON ST
TALLAPOOSA, GA 30176
Nurse Practitioner (Family)
25 W LYON ST
TALLAPOOSA, GA 30176
Family Medicine
25 W LYON ST
TALLAPOOSA, GA 30176
Internal Medicine
25 W LYON ST
TALLAPOOSA, GA 30176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Hendricker's NPI number?

The NPI number for Gary Hendricker is 1013930510. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Gary Hendricker located?

Gary Hendricker practices at 25 W Lyon St, Tallapoosa, GA 30176. The listed phone number is (770) 824-2800.

What is Gary Hendricker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Gary Hendricker was last updated on June 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.