Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Kyle Hendricks, PA-C

Individual provider Physical Therapy Assistant · NPI 1205196805

Michael Kyle Hendricks, PA-C is a Physician Assistant in Monroe, Louisiana. Qualified in 2022, 4 years ago. Practices with Green Clinic LLC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

309 Jackson St
Monroe, LA 71201-7407
Phone: (318) 966-2397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 804 Polk St, Winnsboro, LA 71295-2350 — (318) 435-1550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physical Therapy Assistant Taxonomy 225200000X (LA)

Record details

NPI number1205196805
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 17, 2012
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023
Mailing address204 Knoll Creek Cir, West Monroe, LA 71291-4773

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Green Clinic Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Monroe