CAROLYN GAINES HENDRICKS (NPI# 1528142262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528142262 |
| Entity Type | Individual |
| Full Name | CAROLYN GAINES HENDRICKS |
| Credential | NP |
| Practice Address |
3110 Clifton Springs Rd Suite D Decatur GA 30034-4600 |
| Mailing Address |
3627 Seton Hall Way Decatur GA 30034-5509 |
| Practice Telephone | 4042442200 |
| Practice Fax Number | 4046380309 |
| Mailing Telephone | 4042442200 |
| Mailing Fax Number | 4046380309 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN057169 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952557647 | Carolyn Jean Hendricks | Psychiatry & Neurology | 1881 Chicago St, De Pere, WI 54115-3770 | 2008-08-13 |
| 1205896776 | Carolyn Bennett Hendricks | Specialist | 6410 Rockledge Dr, Suite 506, Bethesda, MD 20817-1809 | 2006-03-27 |
| Street Address |
3110 CLIFTON SPRINGS RD SUITE D |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891743753 | Lizy Thaliath | Psychiatry & Neurology | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2006-05-04 |
| 1902256928 | Meseret Mekbib | Registered Nurse | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2016-06-21 |
| 1174973184 | Eunice Appiah-kesse | Registered Nurse | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2016-06-21 |
| 1114393543 | Saint Joseph's Mercy Care Services Inc. | Clinic/Center | 3110 Clifton Springs Rd, Suite B, Decatur, GA 30034-4600 | 2015-08-20 |
| 1619377231 | Genoa Healthcare, LLC | Pharmacy | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-09-02 |
| 1912325267 | Diane Rainford | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-04-03 |
| 1902220429 | Andi Christine Petito | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-02-05 |
| 1326381930 | Keyonia Germon | Licensed Practical Nurse | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2013-04-02 |
| 1134462740 | Divyalata Vishal Patel | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2013-04-02 |
| 1871806471 | Katherine G Hall | Social Worker | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2010-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578937256 | Tiffany Muse | Nurse Practitioner | 2785 Lawrenceville Hwy, Decatur, GA 30033-2515 | 2015-11-18 |
| 1619348158 | Olga Mason | Nurse Practitioner | 2675 N Decatur Rd, Suite 512, Decatur, GA 30033-6131 | 2015-10-09 |
| 1255647962 | Kathy J Schafer | Nurse Practitioner | 1 Memorial Dr, Suite 300, Decatur, IL 62526-6303 | 2010-08-19 |
| 1356664957 | Janice Burgin | Nurse Practitioner | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2010-03-10 |
| 1932288792 | Lizette Simone Persky | Nurse Practitioner | 315 Winn Way, Decatur, GA 30030-2111 | 2006-11-03 |
| 1811076672 | Christian Leigh Marcum | Nurse Practitioner | 2801 N Decatur Rd, Suite 190, Decatur, GA 30033-5949 | 2006-11-03 |
| 1164505798 | Katherine Cantrell | Nurse Practitioner | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1992138788 | Lindley Ann Cone Kent | Nurse Practitioner | 285 Boulevard Ne Ste 110, Atlanta, GA 30312-4207 | 2013-08-15 |
| 1881963122 | Heather Calhoun Quaile | Nurse Practitioner | 3233 S Cherokee Ln Bldg 1000, Woodstock, GA 30188-4461 | 2011-12-15 |
| 1275812760 | Leah Galloway Pombo | Nurse Practitioner | 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 | 2011-08-15 |
| 1033315122 | Suni Hamm Carroll | Nurse Practitioner | 1105 N 5th Ave Ne, Rome, GA 30165-2603 | 2007-06-25 |
| 1619189784 | Pamela T. Puett | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2007-05-03 |
| 1538201330 | Betty S Rhyne | Nurse Practitioner | 618 E Lamar St, Americus, GA 31709-3738 | 2007-02-12 |
| 1457389751 | Katina Catrice Hunter | Nurse Practitioner | 4849 Paulsen St Ste 314, Savannah, GA 31405-4426 | 2006-06-28 |
| 1912945288 | Angela B Townsend | Nurse Practitioner | 11168 Columbia St, Blakely, GA 39823-3474 | 2006-06-02 |
| 1316900343 | Regina C Bogle | Nurse Practitioner | 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 | 2006-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.