Active NPI
Jason Stewart Daniel Henry, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 98879
- Practice address
- 1350 Walton Way
Augusta, GA 30901-2612 - Phone
- (706) 774-5592
- NPI assigned
- May 20, 2014
- Reactivated
- Jan 13, 2015
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 928-L | MS | |
| Internal Medicine Physician | 207R00000X | 98879 | GA | |
| Pulmonary Disease Physician | 207RP1001X | MD23398 | ME | |
| Pulmonary Disease Physician | 207RP1001X | 98879 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 98879 | GA | Primary |
Addresses
Primary practice location
1350 Walton Way
Augusta, GA 30901-2612
Mailing address
1350 Walton Way
Augusta, GA 30901-2612
Other practice location 1
2500 N. State St.
Department of Medicine
Jackson, MS 39216
Phone (601) 984-5601
Other practice location 2
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 626-1360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01378761 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
820 Sebastian Way
4A
Augusta, GA 30901
Phone (404) 605-4600
Hospital & facility affiliations
- Piedmont Augusta Hospital
- University McDuffie County Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 928-L | MS | MD | Internal Medicine Physician |
| 98879 | GA | MD | Critical Care Medicine (Internal Medicine) Physician |
| MD23398 | ME | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Specialty Hospital Billing LLC | Internal Medicine | Current | Accepting new patients |
| Piedmont Providers LLC | Internal Medicine | Current | Accepting new patients |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| University Health Services,Inc | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
820 Saint Sebastian Way
Ste 3A
Augusta, GA 30901
Phone (614) 293-3873
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1235541673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 WALTON WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 WALTON WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012612",
"telephone_number": "706-774-5592"
}
],
"practiceLocations": [
{
"address_1": "2500 N. State St.",
"address_2": "Department of Medicine",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "39216",
"country_code": "US",
"telephone_number": "601-984-5601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043308160",
"country_code": "US",
"telephone_number": "207-626-1360",
"fax_number": "207-626-1359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "JASON",
"middle_name": "STEWART DANIEL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"deactivation_date": "2014-12-29",
"reactivation_date": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "928-L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "98879",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ME",
"license": "MD23398",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "98879",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "98879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01378761",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.