Christopher Jernard Henry, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

054102 Issued in GA

Practice address

3623 J Dewey Gray Cir
Suite 113
Augusta, GA 30909-6511

Phone

(706) 855-0422

NPI assigned

Oct 27, 2006

Last updated

Jan 11, 2010By 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 4

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Internal Medicine

Education

University of Florida College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians

Hni Hospital Services of Florida LLCGroup PAC ID 0244661353, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent's Riverside Hospital, Jacksonville, FL, CCN 100040
• Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134
• Ascension St Vincent's Southside Hospital, Jacksonville, FL, CCN 100307
• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
• Ascension St Vincent's Clay County Hospital, Middleburg, FL, CCN 100321

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hni Hospital Services of Florida, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Panama City, FL
  • NPI 1144851411
  Medicare reassignment Care Compare group NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284
  Medicare reassignment Care Compare group
• Acute Care Consultants, Inc

  • Pulmonary Disease Physician
  • Augusta, GA
  • NPI 1104808377
  NPD (past)
• Augusta Inpatient Services, LLC

  • Specialist
  • Augusta, GA
  • NPI 1689784589
  NPD (past)
• Augusta Inpatient Services, LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1972743383
  NPD (past)
• Augusta Specialty Hospitalists LLC

  • Neurology Physician
  • Augusta, GA
  • NPI 1164711297
  NPD (past)
• Ecc Hospitalist Services PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1710108170

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health Services, L.L.C.

  dba Memorial Satilla Health

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation
• Baker County Medical Services Inc

  • Rural Acute Care Hospital
  • Macclenny, FL
  • NPI 1104926401
  Care Compare affiliation
• St Lukes - St Vincents Healthcare

  dba Ascension St. Vincent's Southside

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1396926747
  Care Compare affiliation
• St Vincents Medical Center Inc

  dba Ascension St. Vincent's Riverside

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1134117575
  Care Compare affiliation
• St. Vincent's Medical Center-Clay County, Inc.

  dba Ascension St. Vincent's Clay County

  • General Acute Care Hospital
  • Middleburg, FL
  • NPI 1457690471
  Care Compare affiliation
• St. Vincent's Medical Center, Inc.

  dba Ascension St Vincent's Riverside

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1669556072

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1346326980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9674 RED SQUIRREL LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322191993",
            "telephone_number": "904-742-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 J DEWEY GRAY CIR",
            "address_2": "SUITE 113",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096511",
            "telephone_number": "706-855-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "578944681B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GIN",
            "identifier": "GRP7965",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00392068",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1689784589",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Robinson Henley, M.D.
• Cassonia Henley
• Marilyn Henley, BSN
• Anna Beckman Henry, FNP-C
• Ashley Rebecca Henry, PT, DPT
• Jamara Henry, COSMETOLOGIST
• James Daniel Henry, DPM
• Jason Stewart Daniel Henry, M.D.
• Lindsay Player Henry, MD
• Markala Henry

• Internal Medicine Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.