Individual provider Active NPI

Paul Edward Henson III, MD

  • Urology Physician
  • Crossville, TN
National Provider Identifier
1699722892
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD029178 Issued in TN
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

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3815505MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, NM3 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

Enrollment IDStateProvider typePAC IDDetails
I20100908000582 TN Practitioner - Urology 2062424682 Reassigns benefits to 1 organization
I20180928000255 GA Practitioner - Urology 2062424682 Reassigns benefits to 1 organization
I20250618001825 NM Practitioner - Urology 2062424682 Reassigns benefits to 1 organization

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 LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

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 Hospital, Las Cruces, NM, CCN 320085
  • Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD029178TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC CurrentSince Jul 7, 2025 Accepting new patients
Covenant Medical Group, Inc. Urology CurrentSince Aug 1, 2025 Accepting new patients
Covenant Medical Group, Inc CurrentSince Aug 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.