DR. PHYLLIS LILLIAN HENDRY M.D.
NPI 1114998200
Pediatrics - Pediatric Emergency Medicine in Jacksonville, FL

Q: What is Phyllis Hendry's NPI number?

The NPI number for Phyllis Hendry is 1114998200. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Q: What is Phyllis Hendry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Hendry was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 28, 2006PECOS Enrolled

655 W 8TH ST, UFJP EMERGENCY MEDICINE, JACKSONVILLE, FL 32209(904) 244-4124(904) 244-3432 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Phyllis Lillian Hendry M.d. NPPES

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

DR. PHYLLIS LILLIAN HENDRY M.D. (NPI 1114998200) is an individual pediatric emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME54625) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114998200

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. PHYLLIS LILLIAN HENDRYCredential: M.D.

Location Address655 W 8TH ST, UFJP EMERGENCY MEDICINEJacksonville, FL 32209-6511

Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008

Phone(904) 244-4124

Fax(904) 244-3432

Sole ProprietorNo

Enumeration DateJanuary 28, 2006

Last NPPES UpdateJuly 23, 2008

✔ NPI 1114998200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in FL · ME54625

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License ME54625 (FL)

655 W 8TH ST, Jacksonville, FL 32209

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Other Identifiers 5

Medicare PIN12688YFL

Medicare UPIND84349FL

Medicaid0549053-00FL

Medicaid000469829AGA

Medicare PIN930000842FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phyllis Lillian Hendry M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology