NPI age
20 years
Enumerated 2005-07-21
● Active
Type 1 · Individual
DR. Edwin Patton Hendricks JR., D.O.
Hendricks is 1 of 13 family medicine providers in Demorest and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-04-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
720 Maine St
Demorest, GA 305355222
Mailing address
Po Box 669
Demorest, GA 305350669
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 336067 | |
| 05 (GA) | 000235661B | |
| 01 (GA) | 042720 | BCBS OF GEORGIA |
| 01 (GA) | 135382BF | PREFERRED HEALTH PLAN |
| 01 (GA) | 581482841 | TAX ID |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new family medicine provider has been added in Demorest in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.