Reggie Allan Henderson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12019 Issued in TN

Practice address

200 W Church St
Lexington, TN 38351-2038

Phone

(731) 968-3646

Fax

(731) 968-1870

NPI assigned

Oct 27, 2005

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Hospital CorporationGroup PAC ID 7719896414, 28 clinicians

Lexington Clinic CorpGroup PAC ID 2466468558, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Haywood County Community Hospital Hospital, Brownsville, TN, CCN 440238
• Houston County Community Hospital Hospital, Erin, TN, CCN 441322
• Henderson County Community Hospital Hospital, Lexington, TN, CCN 440008
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Briarwood Community Living Center Nursing home, Lexington, TN, CCN 445333

Merit-based Incentive Payment System (MIPS)

Final score

22.68 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

75.61

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: henderra@yourcarecommunity.org
• FHIR API: https://fhir-usa.unify.chbase.com/org/henders-823c208a

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• CLC of Lexington, LLC

  dba Briarwood Community Living Center

  • Skilled Nursing Facility
  • Lexington, TN
  • NPI 1043200777

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Lexington Clinic Corp

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1780652107

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Lexington Hospital Corporation

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1083809669
  Medicare reassignment Care Compare group NPD
• Haywood County Community Hospital, Inc

  • Emergency Medicine Physician
  • Brownsville, TN
  • NPI 1790444933
  Medicare reassignment NPD
• Shamrock Community Hospital Inc

  dba Shamrock Community Hospital Medical Group

  • Family Medicine Physician
  • Erin, TN
  • NPI 1033878277

  Emergency Medicine

  Medicare reassignment NPD
• Shamrock Community Hospital Inc

  dba Houston County Community Hospital

  • Critical Access Hospital
  • Erin, TN
  • NPI 1811566540
  Medicare reassignment NPD
• Lexington Family Physicians LLC

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1265660708
  Medicare reassignment
• Lexington Hospital Corporation

  dba Henderson County Community Pharmacy

  • Clinic Pharmacy
  • Lexington, TN
  • NPI 1033888649
  Medicare reassignment
• Perry County Community Hospital Inc

  • Critical Access Hospital
  • Linden, TN
  • NPI 1528890480
  Medicare reassignment
• Haywood County Community Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Brownsville, TN
  • NPI 1174233225
  NPD
• Lexington Hospital Corporation

  dba Henderson County Medical Group

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1407290893
  NPD
• Shamrock Community Hospital Inc.

  dba Houston County Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Erin, TN
  • NPI 1952011520
  NPD
• Beechlake Emergency Physicians

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1124077748
  NPD (past)

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

• CLC of Lexington, LLC

  dba Briarwood Community Living Center

  • Skilled Nursing Facility
  • Lexington, TN
  • NPI 1043200777

  Nursing home

  Care Compare affiliation
• Haywood County Community Hospital Inc

  • General Acute Care Hospital
  • Brownsville, TN
  • NPI 1720672934
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Lexington Hospital Corporation

  dba Henderson County Community Hospital

  • General Acute Care Hospital
  • Lexington, TN
  • NPI 1255302923
  Care Compare affiliation
• Shamrock Community Hospital Inc

  dba Houston County Community Hospital

  • Critical Access Hospital
  • Erin, TN
  • NPI 1811566540
  Care Compare affiliation

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1528058765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038",
            "telephone_number": "731-968-3646",
            "fax_number": "731-968-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038",
            "telephone_number": "731-968-3646",
            "fax_number": "731-968-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 E Main St",
            "address_purpose": "LOCATION",
            "city": "Erin",
            "state": "TN",
            "postal_code": "370614115",
            "country_code": "US",
            "telephone_number": "931-289-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 W Church St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "TN",
            "postal_code": "383512077",
            "country_code": "US",
            "telephone_number": "731-968-3646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TN",
            "postal_code": "380121610",
            "country_code": "US",
            "telephone_number": "931-289-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "REGGIE",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "12019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "12019",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "12019",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "12019",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "12019",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "12019",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "12019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "152666",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "27415",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3189726",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "JT1012",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00034973",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4057341",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holli Helms, M.S. CCC-SLP
• Henderson Co Health Dept
• Henderson Co Health Dept
• Henderson Co Health Dept
• Henderson County Clinic of Chiropractic PLLC
• Tara Hendrix, FNP
• Heritage Place of Lexington, Inc.
• Deidra Diane Holland, LPN
• Home Medical Products, Inc
• Hometown Health and Wellness PLLC

• Family Medicine Physician in Lexington, TN
• Providers in Lexington, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.