Fady Henein, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

075763 Issued in GA

Practice address

1007 Mary St
Waycross, GA 31503

Phone

(734) 819-4211

NPI assigned

Jul 30, 2012

Last updated

Jul 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wekiva Springs Center LLCGroup PAC ID 0042395931, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

98.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/unisonbehavioralhealth/r4/
• Direct secure messaging: sohomd.fadyhenein@157389.advancedmd-direct.com

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.

• Wekiva Springs Center LLC

  dba Wekiva Springs Center

  • Psychiatric Hospital
  • Jacksonville, FL
  • NPI 1942471065

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Unison Behavioral Health

  • Community/Behavioral Health Agency
  • Waycross, GA
  • NPI 1528104866

  Single Specialty

  Medicare reassignment NPD
• Unison Behavioral Health

  • Community/Behavioral Health Agency
  • Waycross, GA
  • NPI 1073650115
  NPD
• Unison Behavioral Health

  • Counselor
  • Homerville, GA
  • NPI 1427368539

  Single Specialty

  NPD
• Unison Behavioral Health

  dba Charlton BHS Outpatient

  • Community/Behavioral Health Agency
  • Folkston, GA
  • NPI 1003125287
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1265788079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315033823",
            "telephone_number": "912-449-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31503",
            "telephone_number": "734-819-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Homeland Park Rd",
            "address_purpose": "LOCATION",
            "city": "Folkston",
            "state": "GA",
            "postal_code": "315377240",
            "country_code": "US",
            "telephone_number": "912-496-7460",
            "fax_number": "912-449-7083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Harris Rd",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315038960",
            "country_code": "US",
            "telephone_number": "912-449-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENEIN",
        "first_name": "FADY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "075763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175212D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannie Henderson
• Lori Henderson, NP-C
• Tiffany Henderson, LCSW
• Sandra T Hendrickson
• Amy Hendrix-Bennett
• Dorothy Rene Herdman, LCSW
• Allison Callaway Herrin, CCC-SLP
• Caroline Herrin
• Natasha Williams Herrin, LSCSW
• Anthony Cal Herrington, NP

• Psychiatry Physician in Waycross, GA
• Providers in Waycross, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.

Verify at the official NPI Registry.