NPIMap

Individual provider Active NPI

Charles David Hensleigh, M.D.

  • Family Medicine Physician
  • Ashland, AL
National Provider Identifier
1528051133
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9297 Issued in AL
Practice address
83745 Highway 9
Ashland, AL 36251
Phone
(256) 354-4139
Fax
(256) 354-4137
NPI assigned
Aug 30, 2005
Last updated
Dec 31, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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 9297 AL Primary

Addresses

Primary practice location

83745 Highway 9
Ashland, AL 36251

Mailing address

PO Box 67
Ashland, AL 36251-0067
Phone (256) 354-4139

Other identifiers 1

IdentifierTypeStateIssuer
051557552MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060509000420 AL Practitioner - Family Practice 1658305792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Family Practice LLCGroup PAC ID 4284644303, 2 clinicians

Practice addresses (Care Compare)

83745 Hwy 9
Suite 1
Ashland, AL 36251-7988
Phone (256) 354-4139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
31.17 of 100Reported as individual
Quality
26.67
Improvement activities
0
Cost
64.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux26
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions26
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9297ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Family Practice LLC Family Medicine CurrentSince May 3, 2006 Accepting new patients
Clay County Medical Clinics, P.C. Family Medicine Past Accepting new patients
Clay County Healthcare Authority Past Accepting new patients

Locations

83745 Highway 9
Ashland, AL 36251
Phone (256) 354-2010

83745 Highway 9
Ste 1
Ashland, AL 36251
Phone (256) 354-4139

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clay County Rural Emergency HospitalAshland, AL, CCN 010782 Hospital Corporate Director Jul 2, 2020
Hospice of Clay CountyAshland, AL, CCN 011538 Hospice Corporate Director Dec 1, 1994

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1528051133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "362510067",
            "telephone_number": "256-354-4139",
            "fax_number": "256-354-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83745 HIGHWAY 9",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "36251",
            "telephone_number": "256-354-4139",
            "fax_number": "256-354-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEIGH",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051557552",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, AL

Sources for this page

Verify at the official NPI Registry.