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DR. EDWIN PATTON HENDRICKS JR. D.O.
NPI 1871592774
Family Medicine in Demorest, GA

Active since July 21, 2005
720 MAINE ST, DEMOREST, GA 30535(706) 778-3259(706) 776-8660 Get Directions Write a Review

NPPES record last updated: April 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edwin Patton Hendricks Jr. D.o. NPPES

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

DR. EDWIN PATTON HENDRICKS JR. D.O. (NPI 1871592774) is an individual family medicine provider in Demorest, Georgia, licensed in Georgia (022153) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1871592774
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWIN PATTON HENDRICKS JR.Credential: D.O.
Location Address720 MAINE STDemorest, GA 30535-5222
Mailing AddressPo Box 669Demorest, GA 30535-0669 · (706) 778-3259 · Fax (706) 776-8660
Phone(706) 778-3259
Fax(706) 776-8660
Sole ProprietorYes
Enumeration DateJuly 21, 2005
Last NPPES UpdateApril 18, 2015
✔ NPI 1871592774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 022153
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.
720 MAINE ST, Demorest, GA 30535
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Other Identifiers 8

Other135382BFGA · Preferred Health Plan
Medicaid000235661BGA
Other581482841GA · Tax Id
Medicare UPIND45635GA
Other042720GA · Bcbs Of Georgia
Medicare ID-Type Unspecified010003405GA · Palmetto Gba Rr Medicare
Medicare ID-Type UnspecifiedGRP1550GA · Group Number
Medicaid336067GA

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 Edwin Hendricks's NPI number?

The NPI number for Edwin Hendricks is 1871592774. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Edwin Hendricks located?

Edwin Hendricks practices at 720 Maine St, Demorest, GA 30535. The listed phone number is (706) 778-3259.

What is Edwin Hendricks's specialty?

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

When was this NPI record last updated?

The NPPES record for Edwin Hendricks was last updated on April 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.