Individual provider Active NPI

Justine Elodia Henao, D.O.

  • Internal Medicine Physician
  • Cumming, GA
National Provider Identifier
1902808645
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U5861 Issued in TX
Practice address
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone
(770) 844-3200
Fax
(404) 851-6325
NPI assigned
Aug 12, 2005
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052580 GA
Internal Medicine Physician 207R00000X U5861 TX Primary
Hospitalist Physician 208M00000X 036166263 IL
Hospitalist Physician 208M00000X 052580 GA

Addresses

Primary practice location

1200 Northside Forsyth Dr
Cumming, GA 30041-7659

Mailing address

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

Other identifiers 2

IdentifierTypeStateIssuer
52703489OtherGABLUE CROSS BLUE SHIELD
608048816AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA, CT, TX, AR, MI, IL, MS, MO9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20040902001177 GA Practitioner - HospitalistPractitioner - Internal Medicine 2769458561
I20211006000289 LA Practitioner - Internal Medicine 2769458561 Reassigns benefits to 9 organizations
I20221004002705 CT Practitioner - Hospitalist 2769458561 Reassigns benefits to 1 organization
I20230915000386 TX Practitioner - Internal Medicine 2769458561 Reassigns benefits to 6 organizations
I20231003000386 AR Practitioner - Internal Medicine 2769458561 Reassigns benefits to 2 organizations
I20231023001478 MI Practitioner - Internal Medicine 2769458561 Reassigns benefits to 4 organizations
I20231213001617 IL Practitioner - Internal Medicine 2769458561 Reassigns benefits to 3 organizations
I20240125001235 MS Practitioner - Internal Medicine 2769458561 Reassigns benefits to 3 organizations
I20240318002020 MO Practitioner - Internal Medicine 2769458561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Hillsboro Area Hospital, Inc.Group PAC ID 4486547148, 37 clinicians
Jefferson Davis Physician Services, LLCGroup PAC ID 7517269152, 20 clinicians
Flagg Emergency Group, PLLCGroup PAC ID 5698008019, 11 clinicians
Crawford Physician Services PLLCGroup PAC ID 7517310014, 6 clinicians
Grenada Emergency Group, LLCGroup PAC ID 2163854225, 37 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111

1634 Elton Rd
Jennings, LA 70546-3614
Phone (337) 616-7000

200 N 3Rd St
Dardanelle, AR 72834-3802
Phone (479) 229-4677

211 Crawford Memorial Dr
Van Buren, AR 72956-5322
Phone (479) 474-3401

239 Bowling Green Rd
Lexington, MS 39095-5167
Phone (662) 834-1321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.52
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as group
Quality
80
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
71.87
Improvement activities
40
Cost
86.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052580GAMDInternal Medicine Physician
U5861TXMDInternal Medicine Physician
052880GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macoupin Physician Services, PC Internal Medicine CurrentSince Nov 5, 2023 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Aug 30, 2022 Accepting new patients
St. Bernard Physician Services, LLC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Comprehensive Hospitalist Services of Texas, PLLC Internal Medicine CurrentSince Aug 29, 2023 Accepting new patients
Ambassador Physician Services LLC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Aug 30, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 13, 2025 Accepting new patients
Grenada Emergency Group, LLC Hospitalist CurrentSince Dec 27, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 13, 2025 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist Current Accepting new patients
Crawford Physician Services, PLLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Aug 29, 2023 Accepting new patients
Main Street Physician Services LLC Hospitalist CurrentSince Nov 1, 2021 Accepting new patients
Northeast Louisiana Physicians, LLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Jan 7, 2024 Accepting new patients
St Martin Physician Services LLC Hospitalist CurrentSince Jul 1, 2021 Accepting new patients
Jefferson Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
South Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Wexford Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Bexar Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Mar 4, 2025 Accepting new patients
Hillsboro Area Hospital, Inc. Hospitalist Current Accepting new patients
Midwest Hospitalist Physicians LLP Hospitalist CurrentSince Feb 21, 2024 Accepting new patients
Flagg Emergency Group, PLLC Hospitalist CurrentSince Aug 20, 2023 Accepting new patients
Gulf Coast Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Grenada Physician Services, LLC Hospitalist CurrentSince Dec 12, 2023 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Jefferson Davis Physician Services, LLC Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
North Michigan Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Southwest Louisiana Physicians, LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Hub City Physician Group, LLC Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
Concierge Medicine LLC Internal Medicine Past Accepting new patients
Tri County Internal Medicine, PC Internal Medicine PastSince Nov 1, 2001 Accepting new patients

Locations (25 of 40)

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGEJCD
  • Direct secure messaging: jhenao197634@ummc.direct-ci.com

Organizations & group practices 37

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 37

Hospital & facility affiliations 8

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1902808645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NORTHSIDE FORSYTH DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417659",
            "telephone_number": "770-844-3200",
            "fax_number": "404-851-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTHSIDE FORSYTH DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417659",
            "telephone_number": "770-844-3200",
            "fax_number": "404-851-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAO",
        "first_name": "JUSTINE",
        "middle_name": "ELODIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052580",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U5861",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036166263",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "052580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52703489",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608048816A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.