Thomas Wayne Henderson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7738 Issued in TN

Practice address

326 21St Ave N
Nashville, TN 37203-1846

Phone

(615) 341-0808

Fax

(615) 341-0881

NPI assigned

Apr 24, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIGEBD
• FHIR API: https://api.platform.athenahealth.com/20174/brand/1/csg/1/fhir/r4

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.

• Faith Family Medical Clinic

  • Voluntary or Charitable Agency
  • Nashville, TN
  • NPI 1801929617
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1245405984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 21ST AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031846",
            "telephone_number": "615-341-0808",
            "fax_number": "615-341-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 21ST AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031846",
            "telephone_number": "615-341-0808",
            "fax_number": "615-341-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "7738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Danielle Henderson, B.S., M.S., M.A.
• Mary Pullias Henderson, FNP-BC
• Melinda Shaw Henderson, M.D.
• Presley Henderson, FNP STUDENT
• Ryan A Henderson, APRN
• Yvonne Henderson
• Zyair M Henderson
• Alan Hendon, CRNA
• Amy J Hendon, NP
• Emily Elizabeth Hendon, NP

• Family Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.