Cassandra Ray Henricks

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1130 N Church St Ste 200
Greensboro, NC 27401-1041

Phone

(336) 272-4578

Fax

(336) 272-5931

NPI assigned

Jul 22, 2026

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1386565877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 ENGELWOOD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413349",
            "telephone_number": "412-995-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N CHURCH ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011041",
            "telephone_number": "336-272-4578",
            "fax_number": "336-272-5931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 N Church St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011007",
            "country_code": "US",
            "telephone_number": "336-832-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3812 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274552596",
            "country_code": "US",
            "telephone_number": "336-294-1833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRICKS",
        "first_name": "CASSANDRA",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnell Henley
• Thomas F Henley, M.D.
• Adam Ryan Henn, MD
• Phedra Elizabeth Hennessee, PHYSICIAN ASSISTANT
• Jolene M Henning, EDD, ATC, LAT
• Alysha Henry, NCLMBT
• Ariel Henry
• Carrie Henry
• John A Henry Jr., MDIV MA
• Lisa Kay Henry, LPCA

• Surgical Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.