Gregory D Henderson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN477 Issued in SC

Practice address

300 Singleton Ridge Rd
Conway, SC 29526-9142

Phone

(843) 347-8037

Fax

(843) 520-8403

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Conway Hospital Long Term Care Services, Inc

  • Nursing Facility/Intermediate Care Facility
  • Conway, SC
  • NPI 1750466223
  NPD (past)
• Conway Hospital, Inc.

  • General Acute Care Hospital
  • Conway, SC
  • NPI 1134172000
  NPD (past)
• Lancaster Anesthesia & Associates, PA

  • Certified Registered Nurse Anesthetist
  • Lancaster, SC
  • NPI 1104898329

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Strand Anesthesia, PC

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
  • NPI 1851482368

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Wallace Thomson Hospital

  • Medical Specialty Clinic/Center
  • Union, SC
  • NPI 1588872584
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528068335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CHERRY DR",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754111",
            "telephone_number": "843-232-8078",
            "fax_number": "843-232-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-347-8037",
            "fax_number": "843-520-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00123825",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hearing Doctor 2U LLC
• Heartful Hearts in Home Care, LLC
• Paulette W Hemingway, RN
• Rachel Anne Hemingway, RN
• Victoria Brown Hemingway
• Rebecca A Henkle
• Herbert Thomas Henry
• Melissa Ann Henry
• Trina Marie Henry, OTR/L
• Herman L. Anderson Inc,

• Certified Registered Nurse Anesthetist in Conway, SC
• Providers in Conway, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.