Wayne Andrade Henry Sr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

EC201008 Issued in ME

Practice address

15 E Chestnut St
Augusta, ME 04330-5736

Phone

(207) 626-1561

Fax

(207) 626-1849

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Group IncGroup PAC ID 9739090226, shared by 19 NPIs, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health North Hospital Hospital, Roanoke Rapids, NC, CCN 340151

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1598253734
  Medicare reassignment NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, NC
  • NPI 1689626178
  Medicare reassignment NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1871081000
  Medicare reassignment NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Whitakers, NC
  • NPI 1013157171
  NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1073971347
  NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1528489895
  NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1669500997
  NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1720030232
  NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Littleton, NC
  • NPI 1093767535
  NPD (past)

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

• Halifax Regional Medical Center Inc

  • General Acute Care Hospital
  • Roanoke Rapids, NC
  • NPI 1346273943
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1366496804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E CHESTNUT ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305736",
            "telephone_number": "207-626-1561",
            "fax_number": "207-626-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E CHESTNUT ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305736",
            "telephone_number": "207-626-1561",
            "fax_number": "207-626-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Clarkson Ave",
            "address_2": "Kings County Hospital",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032057",
            "country_code": "US",
            "telephone_number": "718-245-4708",
            "fax_number": "718-245-4725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Marcus Ave Ste 2W15",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421005",
            "country_code": "US",
            "telephone_number": "855-201-4988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "WAYNE",
        "middle_name": "ANDRADE",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "011016-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "EC201008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth L Hellmer, D.MIN.
• Paul J Hempstead, PT
• Brittanie Henderson, F.N.P
• Stormie Hendrickson
• Jarrod John Henry, PA-C
• Linda Hepfner, PT
• Mary Onita Herbert-Grant, MB BS
• Paula I Hernandez-Acevedo
• Sophie Redfield Herr, PT
• Leslie Herrick, LCPC

• Family Medicine Physician in Augusta, ME
• Providers in Augusta, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.