Active NPI
Byeol Ah Henson
- Physician Assistant
- Greenville, NC
National Provider Identifier
1164087094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-10500
- Practice address
- 1970 W Arlington Blvd Ste C
Greenville, NC 27834-5783 - Phone
- (252) 317-1195
- Fax
- (252) 317-1111
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-10500 | NC | Primary |
Addresses
Primary practice location
1970 W Arlington Blvd Ste C
Greenville, NC 27834-5783
Mailing address
207 Reedhaven Dr
Cary, NC 27513-2763
Other practice location 1
121 Enterprise Dr
Rocky Mount, NC 27804-9516
Phone (252) 200-5180
Other practice location 2
109 Forest Hills Dr Ste 100
Garner, NC 27529-3690
Phone (919) 999-1149
Other practice location 3
4214 N Roxboro St Ste 140
Durham, NC 27704-1888
Phone (919) 226-1261
Other practice location 4
7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869
Phone (919) 596-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
445 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-5166
Phone (336) 967-6596
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Behavioral Medicine Virginia PC | Multi-Specialty | Current | Accepting new patients |
| JKM Community Services, PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
530 Main St
Ste 307
Danville, VA 24541
Phone (865) 855-9910
Interoperability endpoints
- apogeebehavioralmedicine.byeolahhenson@153105.advancedmd-direct.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 and National Provider Directory roles.
-
- Psychiatry Physician
- Greensboro, NC
- NPI 1134868300
-
- Psychiatry Physician
- Dallas, TX
- NPI 1740081595
Multi-Specialty, VA
-
- Medical Specialty Clinic/Center
- Raleigh, NC
- NPI 1538352760
-
- Community/Behavioral Health Agency
- Lillington, NC
- NPI 1720451784
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1164087094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 REEDHAVEN DR",
"city": "CARY",
"state": "NC",
"postal_code": "275132763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 W ARLINGTON BLVD STE C",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345783",
"telephone_number": "252-317-1195",
"fax_number": "252-317-1111"
}
],
"practiceLocations": [
{
"address_1": "121 Enterprise Dr",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "278049516",
"country_code": "US",
"telephone_number": "252-200-5180",
"fax_number": "252-200-5186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 Forest Hills Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Garner",
"state": "NC",
"postal_code": "275293690",
"country_code": "US",
"telephone_number": "919-999-1149",
"fax_number": "919-772-1535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4214 N Roxboro St Ste 140",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277041888",
"country_code": "US",
"telephone_number": "919-226-1261",
"fax_number": "919-226-1266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7780 Brier Creek Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276177869",
"country_code": "US",
"telephone_number": "919-596-3400",
"fax_number": "919-596-3499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENSON",
"first_name": "BYEOL AH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.