Active NPI
David Glen McHenry, MD
- Neurology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 11473
- Practice address
- 971 Lakeland Drive
Suite 557
Jackson, MS 39216 - Phone
- (601) 200-4560
- Fax
- (601) 326-4632
- NPI assigned
- Oct 23, 2006
- Last updated
- Nov 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 11473 | MS | |
| Neurology Physician | 2084N0400X | 11473 | MS | Primary |
| Neurology Physician | 2084N0400X | 11473 | LA |
Addresses
Primary practice location
971 Lakeland Drive
Suite 557
Jackson, MS 39216
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0001
Other practice location 1
4204 Clay St
Vicksburg, MS 39183-3438
Phone (601) 200-4560
Other practice location 2
810 E Sunflower Rd Ste 100J
Cleveland, MS 38732-2828
Phone (601) 200-4656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18132 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://urldefense.proofpoint.com/v2/url?u=https-3A__epicproxy.et0830.epichosted.com_FHIRProxy_api_F | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Mississippi School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Highland Way
Madison, MS 39110-6933
969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3100
971 Lakeland Dr
Suite 557
Jackson, MS 39216-4661
Phone (601) 200-4560
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11473 | LA | MD | Neurology Physician |
| 11473 | MS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Dominic Medical Associates LLC | Current | Accepting new patients | |
| St. Dominic Medical Associates LLC | Neurology | Current | Accepting new patients |
| St. Dominic Medical Associates LLC | Current | Accepting new patients | |
| St Dominic Medical Associates LLC | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
971 Lakeland Dr
Ste 557
Jackson, MS 39216
Phone (601) 200-4560
106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376
Networks
- LA PPO C-SNP
Interoperability endpoints
- dmchenry2548734@direct.casso.us.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St Dominic Pallative Care
- Hospitalist Physician
- Jackson, MS
- NPI 1285987578
-
dba St. Dominic Gastroenterology
- Gastroenterology Physician
- Jackson, MS
- NPI 1902374085
-
dba St. Dominic Family Practice Associates-Jackson
- Family Nurse Practitioner
- Jackson, MS
- NPI 1508263179
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1053494831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-526-0001",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 LAKELAND DRIVE",
"address_2": "SUITE 557",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-200-4560",
"fax_number": "601-326-4632"
}
],
"practiceLocations": [
{
"address_1": "4204 Clay St",
"address_purpose": "LOCATION",
"city": "Vicksburg",
"state": "MS",
"postal_code": "391833438",
"country_code": "US",
"telephone_number": "601-200-4560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 E Sunflower Rd Ste 100J",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "MS",
"postal_code": "387322828",
"country_code": "US",
"telephone_number": "601-200-4656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCHENRY",
"first_name": "DAVID",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MS",
"license": "11473",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "11473",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "11473",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18132",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://urldefense.proofpoint.com/v2/url?u=https-3A__epicproxy.et0830.epichosted.com_FHIRProxy_api_F",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "309 Jackson St Ste 320",
"city": "Monroe",
"state": "LA",
"country_code": "US",
"postal_code": "712017407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.