Henry D Cline, M.D.
Individual provider Active NPI Radiation Oncology Physician · Vidalia, GA
NPI 1093716409 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1093716409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 25126 (GA)
- Practice address
- 1 Meadows Pkwy
Vidalia, GA 30474-8759 - Phone
- (912) 538-7777
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Medical College of Georgia School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meadows Multispecialty Associates LLC
Practice addresses (Care Compare)
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (812) 538-7777
Hospital & facility affiliations
- Memorial Health Meadows Hospital
- Appling Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 76.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070418000278 | GA | Practitioner - Radiation Oncology | 0648208017 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25126 | GA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Regional Medical Center Inc | Current | Accepting new patients | |
| Meadows Multispecialty Associates, LLC | Current |
Accepting new patients |
Locations
1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- henry.cline@gadirect.net
- henry.cline@mrmc.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 25126 | GA | Yes |
Addresses
Primary practice location
1 Meadows Pkwy
Vidalia, GA 30474-8759
Mailing address
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 538-7777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000285018M | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HENRY.CLINE@hca5.eclinicaldirectplus.com |
Other providers in Vidalia, GA
- Edgar Vincent Clark
- Robert Bicknell Clark Jr.
- Esther Harvey Clements
- Cheryl Taylor Cliff
- Kristin Clifton
- Mymie T Clinton
- Adam Joseph Cobb
- Allahna Allybia Coggins
- Julie Castleman Coleman
- Katherine Collins
All providers in Vidalia, GA · Radiation Oncology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.