HARLEY HENDRIX (MD) – Family Medicine Physician, NPI 1003265836

HARLEY HENDRIX (MD) is a healthcare provider. based in Savannah, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. LL39508 (SC). The NPI Number for HARLEY HENDRIX (MD) is 1003265836

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
HARLEY HENDRIX (MD)
NPI
1003265836
Phone
(912) 819-7878
Address
836 E. 65TH STREET
Enumeration Date
13 June 2016
Last Update Date
12 August 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9126532897
Graduation Year
2016 (10 years ago)
PAC ID
3779871207
Group Practice PAC ID
7719978105
Professional Enrollment ID
I20191014001661
Address ID
GA313213431PE159XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for HARLEY HENDRIX (MD)

  • 836, East 65th Street, Fairfield, Savannah, Chatham County, Georgia, 31405, United States

    SUITE 22

    SAVANNAH, GA 31405

    Phone: (912) 819-7878

    Fax: (912) 819-3555

    Type: Mailing

  • 159, West Railroad Street, Pembroke, Robeson County, North Carolina, 28372, United States

    PEMBROKE, GA 31321

    Phone: (912) 653-2897

    Fax: (912) 653-4299

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Biosense Webster, Inc. ($148).

Total Amount

$337

General + Research + Ownership

Payments

13

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191014001661IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level6350$0
82962Blood glucose (sugar) test performed by hand-held instrument5845$0
36415Insertion of needle into vein for collection of blood sample3733$0
81003Automated urinalysis test3225$0
G0008Administration of influenza virus vaccine3232$0
View full utilization report →

Insurance plans in this area (ZIP 31405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719978105View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify HARLEY HENDRIX (MD) with an NPI only?
You can start verification with NPI 1003265836 for HARLEY HENDRIX (MD), then check state licensing separately.
Does the file indicate HARLEY HENDRIX (MD) is practicing under active NPI?
Directory data currently reports HARLEY HENDRIX (MD) as active.
What healthcare role does HARLEY HENDRIX (MD) hold?
Scheduling teams often label HARLEY HENDRIX (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is HARLEY HENDRIX (MD) based?
HARLEY HENDRIX (MD) is tied to Savannah, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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