Individual provider Active NPI

Courtney N Henderson, PA

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1497158596
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA991 Issued in AL
Practice address
6144 Airport Blvd
Mobile, AL 36608-3143
Phone
(251) 476-5050
Fax
(251) 450-2770
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA991 AL Primary

Addresses

Primary practice location

6144 Airport Blvd
Mobile, AL 36608-3143

Mailing address

PO Box 86144
Mobile, AL 36689-6144
Phone (251) 476-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103001350 AL Practitioner - Physician Assistant 8820210016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopaedic Group PCGroup PAC ID 2264331826, 67 clinicians

Practice addresses (Care Compare)

3610 Springhill Memorial Dr N
Mobile, AL 36608-1162
Phone (251) 476-5050

6144 Airport Blvd
Mobile, AL 36608-3143
Phone (251) 476-5050

Hospital & facility affiliations

  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
86.51
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA991ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, PC CurrentSince Sep 29, 2014 Accepting new patients
The Orthopaedic Group, P.C. CurrentSince Sep 29, 2014 Accepting new patients

Locations

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

6144 Airport Blvd
#A
Mobile, AL 36608
Phone (251) 438-3614

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

1720 Spring Hill Ave
Ste 100
Mobile, AL 36604
Phone (251) 476-5050

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

3610 Springhill Memorial Dr N
Mobile, AL 36608
Phone (251) 344-9630

Organizations & group practices 2

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 2

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1497158596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86144",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366896144",
            "telephone_number": "251-476-5050",
            "fax_number": "251-450-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083143",
            "telephone_number": "251-476-5050",
            "fax_number": "251-450-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "COURTNEY",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.