MS. LORENA HENDRY PA NPI 1417092263

NPI Information

NPI: 1417092263
Provider Name: MS. LORENA HENDRY, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
275 COLLIER RD
SUITE 500
ATLANTA, GA
ZIP 30309
Phone: (404) 605-2800
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MS. Lorena Hendry, PA is a medical physician assistant in Atlanta, GA with 43 years of experience. MS. Lorena Hendry, PA NPI is 1417092263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1981

The provider's business location address is:

275 COLLIER RD
SUITE 500
ATLANTA, GA
ZIP 30309
Phone: (404) 605-2800
Fax: (404) 351-5983

The NPI 1417092263 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 2/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		002239	GEORGIA	No
2	363AM0700X	Physician Assistant	Medical	002239	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	511I970593	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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