Individual provider Active NPI

David James Henson, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Cookeville, TN
National Provider Identifier
1801899224
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
30731 Issued in TN
Practice address
145 W 4TH St Ste 201
Cookeville, TN 38501-2476
Phone
(931) 783-2143
Fax
(931) 783-2152
NPI assigned
May 31, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 30731 TN Primary
Pulmonary Disease Physician 207RP1001X 30731 TN

Addresses

Primary practice location

145 W 4TH St Ste 201
Cookeville, TN 38501-2476

Mailing address

140 W 7TH St
Cookeville, TN 38501-1726
Phone (931) 783-5582

Other identifiers 4

IdentifierTypeStateIssuer
64083819MedicaidKY
3827587MedicaidTN
3097269OtherTNBLUE CROSS OF TN
4302689OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031108000022 TN Practitioner - Sleep MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9739091992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
40.99 of 100Reported as group
Quality
58.34
Promoting interoperability
0
Improvement activities
0
Cost
78.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30731TNMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Cookeville Regional Medical Group, Inc CurrentSince Sep 1, 2011 Accepting new patients
Cookeville Regional Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Upper Cumberland Pulmonary Group CurrentSince Sep 1, 1995 Accepting new patients

Locations

315 N Washington Ave
Ste 201
Cookeville, TN 38501
Phone (931) 520-1696

145 W 4th St
Ste 201
Cookeville, TN 38501
Phone (931) 372-7716

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

228 W 4th St
Ste 301
Cookeville, TN 38501
Phone (931) 526-4349

127 N Oak Ave
#D
Cookeville, TN 38501

100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901

315 N Washington Ave
Ste 265
Cookeville, TN 38501
Phone (931) 520-1696

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1801899224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726",
            "telephone_number": "931-783-5582",
            "fax_number": "931-526-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 4TH ST STE 201",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012476",
            "telephone_number": "931-783-2143",
            "fax_number": "931-783-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "30731",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "30731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64083819",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3827587",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "3097269",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4302689",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.