Active NPI
Justine Elodia Henao, D.O.
- Internal Medicine Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U5861
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52703489 | Other | GA | BLUE CROSS BLUE SHIELD |
| 608048816A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, LA, CT, TX, AR, MI, IL, MS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
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
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
- Hillsboro Area Hospital
- Holmes County Hospital and Clinics
- Baptist Health - Van Buren
- Ochsner American Legion Hospital
- Munson Healthcare Manistee Hospital
- Hillsboro Area Hospital
- Holmes County Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 89.52
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 80
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 052580 | GA | MD | Internal Medicine Physician |
| U5861 | TX | MD | Internal Medicine Physician |
| 052880 | GA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macoupin Physician Services, PC | Internal Medicine | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| St. Bernard Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Ambassador Physician Services LLC | Hospitalist | Current | Accepting new patients |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Grenada Emergency Group, LLC | Hospitalist | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Comprehensive Hospitalist Services of Texas PLLC | Hospitalist | Current | Accepting new patients |
| Crawford Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Otsego Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Texas PLLC | Hospitalist | Current | Accepting new patients |
| Main Street Physician Services LLC | Hospitalist | Current | Accepting new patients |
| Northeast Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Central Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| St Martin Physician Services LLC | Hospitalist | Current | Accepting new patients |
| Jefferson Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| South Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Wexford Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Bexar Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Hospitalist | Current | Accepting new patients |
| Midwest Hospitalist Physicians LLP | Hospitalist | Current | Accepting new patients |
| Flagg Emergency Group, PLLC | Hospitalist | Current | Accepting new patients |
| Gulf Coast Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Grenada Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Grand Traverse Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Jefferson Davis Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| North Michigan Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Southwest Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Hub City Physician Group, LLC | Hospitalist | Current | Accepting new patients |
| North Texas Physician Services, PLLC | Internal Medicine | Current | 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 | Past | 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
- https://fhir4.healow.com/fhir/r4/AGEJCD
- 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.
-
- Hospitalist Physician
- Van Buren, AR
- NPI 1346029204
-
- Hospitalist Physician
- Hillsboro, IL
- NPI 1821078213
-
- Hospitalist Physician
- Jennings, LA
- NPI 1942679352
-
- Hospitalist Physician
- Charlevoix, MI
- NPI 1972314821
Internal Medicine
-
- Hospitalist Physician
- Lafayette, LA
- NPI 1134237068
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1730960998
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1417738675
-
- Hospitalist Physician
- Odessa, TX
- NPI 1295062198
-
- Hospitalist Physician
- Traverse City, MI
- NPI 1932913217
Internal Medicine
-
- Hospitalist Physician
- Grenada, MS
- NPI 1932762721
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health - Van Buren
- General Acute Care Hospital
- Van Buren, AR
- NPI 1154807584
-
- Medicare Defined Swing Bed Hospital Unit
- Hillsboro, IL
- NPI 1003896499
Nursing home
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
dba Hillsboro Area Hospital Primary Care Clinic
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1811774771
Hospital
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
dba Ochsner American Legion Hospital
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
-
dba Holmes County Hospital and Clinic
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
-
dba Holmes County Hospital and Clinic
- Medicare Defined Swing Bed Hospital Unit
- Lexington, MS
- NPI 1700872173
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.