Individual provider Active NPI

Deborah M. Henderson, MD

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1003985615
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101236656 Issued in VA
Practice address
908 E Jefferson St
Ste G1
Charlottesville, VA 22902-5375
Phone
(434) 244-5684
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101236656 VA Primary

Addresses

Primary practice location

908 E Jefferson St
Ste G1
Charlottesville, VA 22902-5375

Mailing address

908 E Jefferson St
Ste G1
Charlottesville, VA 22902-5375
Phone (434) 244-5684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020001026 VA Practitioner - Internal Medicine 3274594502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

908 E Jefferson St
Suite G1
Charlottesville, VA 22902-5375
Phone (434) 244-5684

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101236656VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Nov 16, 2022 Accepting new patients
Fox and Brantley Internal Medicine PLC Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Anchor Healthcare, PLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Anchor Healthcare, PLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 16, 2022 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

916 E High St
#1
Charlottesvle, VA 22902
Phone (434) 244-5684

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

908 E Jefferson St
Ste G1
Charlottesvle, VA 22902
Phone (434) 244-5684

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: deborah.henderson.1@8042.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1003985615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E JEFFERSON ST",
            "address_2": "STE G1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025375",
            "telephone_number": "434-244-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E JEFFERSON ST",
            "address_2": "STE G1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025375",
            "telephone_number": "434-244-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DEBORAH",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101236656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.