MEDICARE: NANCY WENDY HENDRIX MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	040686	GA
2	207V00000X	Obstetrics & Gynecology Physician	19970	SC
3	207VM0101X	Maternal & Fetal Medicine Physician	25MA08363300	NJ
4	207VM0101X	Maternal & Fetal Medicine Physician	19970	SC
5	207VM0101X	Maternal & Fetal Medicine Physician	48513	KY
6	207V00000X	Obstetrics & Gynecology Physician	25MA08363300	NJ
7	207VM0101X	Maternal & Fetal Medicine Physician	MD040494	DC
8	207VM0101X	Maternal & Fetal Medicine Physician	D74010	MD
9	207V00000X	Obstetrics & Gynecology Physician	MD437235	PA
10	207VM0101X	Maternal & Fetal Medicine Physician	040686	GA
11	207VM0101X	Maternal & Fetal Medicine Physician	MD437235	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629042049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY WENDY HENDRIX MD

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE STE 300
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2899
Country	:	US
Telephone Number	:	864-522-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 MEDICAL PARK RD STE 107
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6839
Country	:	US
Telephone Number	:	803-434-4480
Fax Number	:	803-434-3340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	03/03/2026

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