ASHLEE LYNN HENDRY DO
NPI 1619354420
Family Medicine in Petal, MS

Q: What is Ashlee Hendry's NPI number?

The NPI number for Ashlee Hendry is 1619354420. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Q: What is Ashlee Hendry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Ashlee Hendry enrolled in Medicare?

No. Ashlee Hendry has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Ashlee Hendry was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 30, 2015Opted out of Medicare · through Apr 1, 2028

1146 EVELYN GANDY PKWY, PETAL, MS 39465(601) 584-4309(601) 584-4890 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2022, Dec 21, 2020, Aug 29, 2019 and 1 more (4 updates tracked since 2018).

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About Ashlee Lynn Hendry Do NPPES

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

ASHLEE LYNN HENDRY DO (NPI 1619354420) is an individual family medicine provider in Petal, Mississippi, licensed in Mississippi (27968) and active in the NPI registry since April 2015. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619354420

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameASHLEE LYNN HENDRYCredential: DO

Location Address1146 EVELYN GANDY PKWYPetal, MS 39465-3947

Mailing Address1146 Evelyn Gandy PkwyPetal, MS 39465-3947 · (601) 584-4309 · Fax (601) 584-4890

Phone(601) 584-4309

Fax(601) 584-4890

Sole ProprietorNo

Enumeration DateApril 30, 2015

Last NPPES UpdateJanuary 6, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2022

✔ NPI 1619354420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MS · 27968✔ Licensed in TN · 3173

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1146 EVELYN GANDY PKWY, Petal, MS 39465

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Other Identifiers 1

Other27968MS · Ms Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ashlee Lynn Hendry Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39465 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

MALLORY STOCKSTILL FNP-C

Nurse Practitioner (Family)