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AMANDA HENDRICKS
NPI 1982354551
General Practice in Gainesville, GA

Active since March 26, 2022PECOS Enrolled
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000(404) 726-4144 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Hendricks NPPES

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

AMANDA HENDRICKS (NPI 1982354551) is an individual general practice provider in Gainesville, Georgia, licensed in Georgia (100042) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982354551
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameAMANDA HENDRICKS
Location Address743 SPRING ST NEGainesville, GA 30501-3715
Mailing Address743 Spring St NeGainesville, GA 30501-3715 · Fax (404) 726-4144
Phone(770) 219-9000
Fax(404) 726-4144
Sole ProprietorNo
Enumeration DateMarch 26, 2022
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1982354551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 100042
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
743 SPRING ST NE, Gainesville, GA 30501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Hendricks 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.

DARRYL E BLALOCK CRNA
Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
JACOB LEEDEKERKEN
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
ANELA D PEARSON AGACNP-BC
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 534-2020
DR. SHARANI UMAYANGANI JAYARATNE MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
JUSTINA LI VEGA PA-C
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 533-7288
RACHAEL PHLIPOT CAA
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
DR. KEITH EDWIN LEAP II MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (786) 357-9327
CHRISTINE D LALLOS MD
Anesthesiology (Critical Care Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-9000

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 Amanda Hendricks's NPI number?

The NPI number for Amanda Hendricks is 1982354551. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Amanda Hendricks located?

Amanda Hendricks practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Amanda Hendricks's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Amanda Hendricks enrolled in Medicare?

Yes. Amanda Hendricks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Hendricks was last updated on May 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.