Active NPI
Paul A Henkel, DO
- Orthopaedic Surgery Physician
- Watkinsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 86314
- Practice address
- 1305 Jennings Mill Rd Ste 110
Watkinsville, GA 30677-7241 - Phone
- (706) 613-5880
- NPI assigned
- Jul 16, 2012
- Last updated
- Sep 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 3551 | TN | |
| Orthopaedic Surgery Physician | 207X00000X | 86314 | GA | Primary |
Addresses
Primary practice location
1305 Jennings Mill Rd Ste 110
Watkinsville, GA 30677-7241
Mailing address
PO Box 117265
Atlanta, GA 30368-7265
Phone (706) 369-5440
Other practice location 1
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 2
410 N State Of Franklin Rd Ste 140
Johnson City, TN 37604-6972
Phone (423) 431-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 Jennings Mill Rd
Suite 250
Watkinsville, GA 30677-7241
Phone (706) 475-1700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Specialty Care LLC | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171
1305 Jennings Mill Rd
Ste 110
Watkinsville, GA 30677
Phone (706) 613-5880
1305 Jennings Mill Rd
Ste 250
Watkinsville, GA 30677
410 N State of Franklin Rd
Ste 140
Johnson City, TN 37604
Phone (423) 431-2460
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
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.
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Orthopaedic Surgery
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Bristol, TN
- NPI 1558812198
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Hartwell, GA
- NPI 1740268176
-
dba Piedmont Home Health
- Home Health Agency
- Athens, GA
- NPI 1053306191
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1235484312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117265",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687265",
"telephone_number": "706-369-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 JENNINGS MILL RD STE 110",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777241",
"telephone_number": "706-613-5880"
}
],
"practiceLocations": [
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"fax_number": "423-224-3215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 N State Of Franklin Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046972",
"country_code": "US",
"telephone_number": "423-431-2460",
"fax_number": "423-431-2456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENKEL",
"first_name": "PAUL",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "3551",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "86314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
- Health 1St Chiropractic and Rehabilitation, Inc.
- Healthfirst Family Chiropractic, P.C.
- Heart to Heart Speech Therapy, LLC
- Amy Kristiana Heesacker, PHD
- Jean Bridges Hendrix, SLP
- Shannon Wilson Henslee, MPA, MSED, ATC, PA-C
- Kaleigh Hernandez, OT
- Amanda Herrington, RBT
- Hey, You Need Therapy.
- William Rhett Hickox, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.