Travis T Henderson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2009-00720 Issued in NC

Practice address

1135 Carthage St
Central Carolina Radiology
Sanford, NC 27330-4162

Phone

(919) 777-7092

Fax

(919) 774-2399

NPI assigned

Apr 21, 2006

Last updated

May 29, 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, NC, SC3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

JC Edwards School of Medicine, Marshall University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Burke Primary Care LLCGroup PAC ID 1759339948, 24 clinicians

Mid Carolina Radiology Associates PAGroup PAC ID 8325017908, 2 clinicians

South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians

Care-Net of LancasterGroup PAC ID 4789766932, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
• Union General Hospital Hospital, Blairsville, GA, CCN 110051
• Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041
• Bacon County Hospital Hospital, Alma, GA, CCN 111327
• Blue Ridge Medical Center Hospital, Blue Ridge, GA, CCN 111338

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 72)

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73177
• Direct secure messaging: travis.henderson.1@12871.direct.athenahealth.com

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.

• Burke Primary Care, LLC

  • Family Medicine Physician
  • Morganton, NC
  • NPI 1225085707
  Medicare reassignment Care Compare group NPD
• Mid Carolina Radiology Associates PA

  dba Mid-Carolina Radiology

  • Diagnostic Radiology Physician
  • Sanford, NC
  • NPI 1689777245
  Medicare reassignment Care Compare group NPD
• South Georgia Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1760669931

  NC

  Medicare reassignment Care Compare group NPD
• Care-Net of Lancaster

  dba Plexus Health

  • Federally Qualified Health Center (FQHC)
  • Lancaster, SC
  • NPI 1154510352
  Medicare reassignment Care Compare group
• Imaging Partners PLLC

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1184020547
  Medicare reassignment NPD
• Little River Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Little River, SC
  • NPI 1629021076

  Family Medicine

  Medicare reassignment NPD
• Sterling Radiology LLC

  dba Sterling Group Radiology

  • Body Imaging Physician
  • Moultrie, GA
  • NPI 1770295537
  Medicare reassignment NPD
• Invision Diagnostics, LLC

  • Mobile Mammography Clinic/Center
  • Charlotte, NC
  • NPI 1497293773
  NPD
• Sonocare, LLC

  • Physiological Laboratory
  • Morganton, NC
  • NPI 1164527149
  NPD
• Bca Georgia, LLC

  dba Lakeside Imaging

  • Radiology Clinic/Center
  • Milledgeville, GA
  • NPI 1679294227
  NPD
• Little River Medical Center, Inc.

  • Family Medicine Physician
  • Myrtle Beach, SC
  • NPI 1144472119
  NPD

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

• DLP Central Carolina Medical Center LLC

  dba Central Carolina Hospital

  • General Acute Care Hospital
  • Sanford, NC
  • NPI 1902836943
  Care Compare affiliation
• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation
• Blue Ridge Georgia Hospital Company LLC

  dba Blue Ridge Medical Center

  • Critical Access Hospital
  • Blue Ridge, GA
  • NPI 1851362263
  Care Compare affiliation
• Northeast Georgia Medical Center Habersham LLC

  • General Acute Care Hospital
  • Demorest, GA
  • NPI 1740981430
  Care Compare affiliation
• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Care Compare affiliation

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1679539381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 120590",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236120590",
            "telephone_number": "757-867-6101",
            "fax_number": "757-867-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "address_2": "CENTRAL CAROLINA RADIOLOGY",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-777-7092",
            "fax_number": "919-774-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Wamsutta Mill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555523",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Wamsutta Mill Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555522",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TRAVIS",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2009-00720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "153AM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911860",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.