Michele Henry, AUD
Individual provider Active NPI Audiologist · Columbus, MS
NPI 1790764033 · NPPES record last updated Aug 3, 2021
Key facts
- NPI
- 1790764033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A4373 (MS)
- Practice address
- 2430 5TH St N
Columbus, MS 39705-2000 - Phone
- (662) 327-4432
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- University of Tennessee, HSC, College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Otolaryngology Associates, LTD
Practice addresses (Care Compare)
2430 5TH St N
Columbus, MS 39705-2000
Phone 662327443215
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.74 of 100
- Quality
- 68.93
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 94.38
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180220001782 | MS | Practitioner - Qualified Audiologist | 8921170333 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1556 | TN | MD | Speech-Language Pathologist |
| A4373 | MS | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology Associates, LTD | Audiologist | Current |
Accepting new patients |
| Golden Triangle Outpatient Center LLC | Current |
Accepting new patients | |
| The Ear Nose and Throat Surgical Associates PA | Past | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
2430 5th St N
Columbus, MS 39705
Phone (662) 327-4432
976 Highway 12 E
Starkville, MS 39759
Phone (662) 323-3801
111 Medical Center Dr
West Point, MS 39773
Phone (662) 327-4432
Interoperability endpoints
- michele.henry.1@20686.direct.athenahealth.com
- https://api.platform.athenahealth.com/20686/brand/1/csg/1/fhir/r4
- mhenry@oto.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A4373 | MS | |
| Audiologist | 231H00000X | A4373 | MS | Yes |
Addresses
Primary practice location
2430 5TH St N
Columbus, MS 39705-2000
Mailing address
2430 5TH St N
Columbus, MS 39705-2000
Phone (662) 327-4432
Other practice location 1
1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 327-4432
Other practice location 2
111 Medical Center Dr
West Point, MS 39773-0428
Phone (662) 327-4432
Other practice location 3
976 Highway 12 E
Starkville, MS 39759-4173
Phone (662) 327-4432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S3005 | Other | BLUE CROSS | |
| S3004 | Other | BLUE CROSS | |
| S3003 | Other | BLUE CROSS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | columbus.1@20686.direct.athenahealth.com |
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.