Active NPI
Paul Edward Henson III, MD
- Urology Physician
- Crossville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD029178
- Practice address
- 49 Cleveland St Ste 350
Crossville, TN 38555-2898 - Phone
- (931) 459-1120
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD029178 | TN | Primary |
Addresses
Primary practice location
49 Cleveland St Ste 350
Crossville, TN 38555-2898
Mailing address
49 Cleveland St Ste 350
Crossville, TN 38555-2898
Phone (931) 423-6970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3815505 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Medical College of Georgia School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717
4351 E Lohman Ave
Suite 409
Las Cruces, NM 88011-8263
Phone (575) 521-8860
Hospital & facility affiliations
- Mountain View Regional Medical Center
- Three Crosses Regional Hospital LLC
- Christus Southern New Mexico
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD029178 | TN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces Physician Services LLC | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Urology | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Familycare Associates,PA | Past | Accepting new patients |
Locations
4351 E Lohman Ave
Ste 409
Las Cruces, NM 88011
Phone (505) 521-4819
1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205
49 Cleveland St
Ste 350
Crossville, TN 38555
Phone (931) 456-5184
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Interoperability endpoints
- paul.henson.1@1928.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1699722892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 CLEVELAND ST STE 350",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385552898",
"telephone_number": "931-423-6970",
"fax_number": "423-697-1798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 CLEVELAND ST STE 350",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385552898",
"telephone_number": "931-459-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "MD029178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3815505",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.