Madonna Moore Henry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005351 Issued in GA

Practice address

16915 Highway 67
Suite a
Statesboro, GA 30458-5819

Phone

(912) 644-5300

Fax

(912) 644-5260

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075

Merit-based Incentive Payment System (MIPS)

Final score

54.22 of 100Reported as group

Quality

71.46

Promoting interoperability

0

Improvement activities

40

Cost

59.28

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1780077982
  Medicare reassignment Care Compare group NPD
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1467845404
  NPD
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Richmond Hill, GA
  • NPI 1548653330
  NPD (past)
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Midway, GA
  • NPI 1821639758
  NPD (past)
• Tattnall Hospital Company LLC

  • Orthopaedic Surgery Physician
  • Reidsville, GA
  • NPI 1518613728
  NPD (past)
• Tattnall Hospital Company, LLC

  • Pain Medicine Physician
  • Hinesville, GA
  • NPI 1326409442
  NPD (past)
• Tattnall Hospital Company, LLC

  • Orthopaedic Surgery Physician
  • Sylvania, GA
  • NPI 1386455376
  NPD (past)
• Tattnall Hospital Company, LLC

  • Physical Medicine & Rehabilitation Physician
  • Swainsboro, GA
  • NPI 1467883892
  NPD (past)
• Tattnall Hospital Company, LLC

  • Internal Medicine Physician
  • Dublin, GA
  • NPI 1558878884
  NPD (past)
• Tattnall Hospital Company, LLC

  • Orthopaedic Surgery Physician
  • Baxley, GA
  • NPI 1588103592
  NPD (past)
• Tattnall Hospital Company, LLC

  • Critical Access Hospital
  • Reidsville, GA
  • NPI 1790942381
  NPD (past)
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Bluffton, SC
  • NPI 1528451481
  NPD (past)

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

• East Georgia Regional Medical Center, LLC

  • General Acute Care Hospital
  • Statesboro, GA
  • NPI 1265486278
  Care Compare affiliation

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1750545737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 EAST DERENNE AVENUE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054801",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 HIGHWAY 67",
            "address_2": "SUITE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585819",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MADONNA",
        "middle_name": "MOORE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Henderson, LCSW
• John Perry Hendrix, O.D.
• Kristie Hendrix
• Melissa A Hendrix, LPC, NCC
• Steven Ray Hendrix, CRNA
• Stacia Herbert
• Chandler James Herman, LAT, ATC
• Jessica Hernandez
• Amanda Herrin, PHARM.D.
• Heather Sumner Herrin, FNP-BC

• Physician Assistant in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.