Individual provider Active NPI

Gregory Allen Henson, M.D.

  • Family Medicine Physician
  • Bentonville, AR
National Provider Identifier
1467715656
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-8378 Issued in AR
Practice address
701 SW Regional Airport Blvd
Bentonville, AR 72713-4589
Phone
(479) 464-5590
Fax
(479) 464-5591
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-8378 AR Primary

Addresses

Primary practice location

701 SW Regional Airport Blvd
Bentonville, AR 72713-4589

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregory.henson@mana.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20140408000810 AR Practitioner - Family PracticePractitioner - Emergency Medicine 6002048907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Northwest Arkansas, PAGroup PAC ID 3678542073, 102 clinicians

Practice addresses (Care Compare)

3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-8200

3383 N Mana CT
Fayetteville, AR 72703-4965

701 SW Regional Airport Blvd
Bentonville, AR 72713-4589
Phone (479) 464-5590

Hospital & facility affiliations

  • Elite Home Health Home health agency, Springdale, AR, CCN 047346
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Jan 15, 2014 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 20, 2015 Accepting new patients
Medical Associates of Northwest Arkansas, PA Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Ess Hospitalist LLC CurrentSince Jan 15, 2014 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 20, 2015 Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine Past Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine Past Accepting new patients
Medical Associates of Northwest Arkansas PA Family Medicine Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

701 SW Regional Airport Blvd
Bentonville, AR 72713
Phone (479) 268-7640

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

Interoperability endpoints

  • Direct secure messaging: ghenson46087@washingtonregional.direct-ci.com
  • Direct secure messaging: gregory.henson@mana.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1467715656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SW REGIONAL AIRPORT BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727134589",
            "telephone_number": "479-464-5590",
            "fax_number": "479-464-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-8378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.henson@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "gregory.henson@mana.eclinicaldirectplus.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "701 SW Regional Airport Blvd",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727134589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.