SANDRA T HENDRICKSON
NPI 1558646901
Nurse Practitioner - Women's Health in Waycross, GA

Q: What is Sandra Hendrickson's NPI number?

The NPI number for Sandra Hendrickson is 1558646901. It was assigned to this individual provider in the NPPES registry on October 18, 2011.

Q: What is Sandra Hendrickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since October 18, 2011PECOS Enrolled

604 RIVERSIDE AVE, WAYCROSS, GA 31501(912) 287-4863(912) 287-5875 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Sandra T Hendrickson NPPES

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

SANDRA T HENDRICKSON (NPI 1558646901) is an individual women's health provider in Waycross, Georgia, licensed in Georgia (RN080911) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558646901

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameSANDRA T HENDRICKSON

Location Address604 RIVERSIDE AVEWaycross, GA 31501-5323

Mailing Address1101 Church StWaycross, GA 31501-3525 · (912) 287-4863 · Fax (912) 287-5875

Phone(912) 287-4863

Fax(912) 287-5875

Sole ProprietorNo

Enumeration DateOctober 18, 2011

✔ NPI 1558646901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in GA · RN080911

604 RIVERSIDE AVE, Waycross, GA 31501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra T Hendrickson 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.

Medicare Billing Reassignments

Medicare enrollment records show Sandra Hendrickson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harrison C Carter MD PC

23 mi

Specialist

1126 W 12TH ST
Alma, GA 31510

Reassigned Medicare billing, Georgia enrollment
3 clinicians in this Medicare group

NPI 1619174091 (912) 632-7300

Coffee County Board Of Health

36 mi

Public Health or Welfare

1003 SHIRLEY AVE
Douglas, GA 31533

Reassigned Medicare billing, Georgia enrollment
11 clinicians in this Medicare group

NPI 1316976699 (912) 389-4586

Bulloch County Board Of Health

91 mi

Public Health or Welfare

3 W ALTMAN ST
Statesboro, GA 30458

Reassigned Medicare billing, Georgia enrollment
12 clinicians in this Medicare group

NPI 1043243876 (912) 764-2402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

PAMELA B CARTER NP

Nurse Practitioner