NPIMap

Individual provider Active NPI

Paul Willard Henley Jr., MD

  • Emergency Medicine Physician
  • Lexington, KY
National Provider Identifier
1477088730
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57032 Issued in KY
Practice address
1401 Harrodsburg Rd Ste A120
Lexington, KY 40504-3779
Phone
(859) 258-6784
Fax
(859) 258-6796
NPI assigned
Apr 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57032 KY
Hospitalist Physician 208M00000X 57032 KY
Emergency Medicine Physician 207P00000X 57032 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd Ste A120
Lexington, KY 40504-3779

Mailing address

157 Shelby Court
Richmond, KY 40475
Phone (865) 255-3777

Other practice location 1

500 S Preston St
Room 305
Louisville, KY 40202-1702
Phone (502) 852-8696

Other practice location 2

822 Belle St
Louisville, KY 40245-2915
Phone (865) 255-3777

Other practice location 3

157 Shelby Court
Richmond, KY 40475
Phone (865) 255-3777

Other practice location 4

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Other identifiers 1

IdentifierTypeStateIssuer
7100789960MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220128001823 KY Practitioner - Emergency MedicinePractitioner - Hospitalist 6204228091 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Hospital & facility affiliations

  • Saint Joseph London Hospital, London, KY, CCN 180011
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020
  • Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57032KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russell County Hospital CurrentSince Jan 15, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Feb 3, 2023 Accepting new patients
New Lexington Clinic PSC CurrentSince May 9, 2023 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
New Lexington Clinic, PSC Internal Medicine CurrentSince May 9, 2023 Accepting new patients
Pine Mountain Emergency Group Limited Liability Company Emergency Medicine CurrentSince Dec 31, 2022 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Russell County Hospital CurrentSince Jan 15, 2022 Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1401 Harrodsburg Rd
Ste A120
Lexington, KY 40504
Phone (859) 258-6520

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

Interoperability endpoints

  • Direct secure messaging: paulhenley00@arh.medalliesdirect.net
  • Direct secure messaging: paul.henley.1@13059.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1477088730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SHELBY COURT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "865-255-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE A120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043779",
            "telephone_number": "859-258-6784",
            "fax_number": "859-258-6796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Preston St",
            "address_2": "Room 305",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021702",
            "country_code": "US",
            "telephone_number": "502-852-8696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "822 Belle St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402452915",
            "country_code": "US",
            "telephone_number": "865-255-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Shelby Court",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "40475",
            "country_code": "US",
            "telephone_number": "865-255-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "PAUL",
        "middle_name": "WILLARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "57032",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "57032",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "57032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100789960",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.