Individual provider Active NPI

Thomas F Henley, M.D.

  • Obstetrics & Gynecology Physician
  • Greensboro, NC
National Provider Identifier
1912008681
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15939 Issued in NC
Practice address
510 N Elam Ave Ste 101
Greensboro, NC 27403-1142
Phone
(336) 854-8800
Fax
(336) 299-4308
NPI assigned
Sep 26, 2006
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15939 NC Primary

Addresses

Primary practice location

510 N Elam Ave Ste 101
Greensboro, NC 27403-1142

Mailing address

510 N Elam Ave Ste 101
Greensboro, NC 27403-1142
Phone (336) 854-8800

Other identifiers 1

IdentifierTypeStateIssuer
89-41630MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20111201000539 NC Practitioner - Obstetrics/Gynecology 8426222415 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Jan 14, 2014 Accepting new patients

Locations

3200 Northline Ave
Ste 130
Greensboro, NC 27408
Phone (336) 286-6565

510 N Elam Ave
Ste 101
Greensboro, NC 27403
Phone (336) 854-8800

719 Green Valley Rd
Ste 201
Greensboro, NC 27408
Phone (336) 378-1110

802 Green Valley Rd
Ste 300
Greensboro, NC 27408
Phone (336) 273-3661

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1912008681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031142",
            "telephone_number": "336-854-8800",
            "fax_number": "336-299-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031142",
            "telephone_number": "336-854-8800",
            "fax_number": "336-299-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "15939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-41630",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.