Individual provider Active NPI

Darus Clyde Henson, FNP-C

  • Nurse Practitioner
  • Old Fort, NC
National Provider Identifier
1649770751
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010299 Issued in NC
Practice address
32 E Main St
Old Fort, NC 28762-0017
Phone
(828) 659-5741
NPI assigned
Feb 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010299 NC Primary

Addresses

Primary practice location

32 E Main St
Old Fort, NC 28762-0017

Mailing address

32 E Main St
Old Fort, NC 28762-0017
Phone (828) 668-6435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address darus.henson.1@23581.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180508002119 NC Practitioner - Nurse Practitioner 3779847207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

Hospital & facility affiliations

  • The McDowell Hospital Hospital, Marion, NC, CCN 340087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010299NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ware Family Medicine PLLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
MH Blue Ridge Medical Center, LLLP Nurse Practitioner Past Accepting new patients

Locations

32 E Main St
Old Fort, NC 28762
Phone (828) 659-5741

Interoperability endpoints

  • Direct secure messaging: darus.henson.1@23581.direct.athenahealth.com

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 7

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": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1649770751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287620017",
            "telephone_number": "828-668-6435",
            "fax_number": "833-913-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287620017",
            "telephone_number": "828-659-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "DARUS",
        "middle_name": "CLYDE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darus.henson.1@23581.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "32 E Main St",
            "city": "Old Fort",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287620017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Old Fort, NC

Sources for this page

Verify at the official NPI Registry.