Camille M Henry, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2005-00351 Issued in NC

Practice address

4230 N Roxboro Rd
Durham, NC 27704-1826

Phone

(919) 477-9805

Fax

(919) 479-5261

NPI assigned

Nov 21, 2006

Last updated

Jul 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• B & D Integrated Health Services

  • Family Medicine Physician
  • Durham, NC
  • NPI 1215022926
  Medicare reassignment NPD
• LLD Laboratories, LLC

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1295196780
  Medicare reassignment NPD
• B & D Integrated Health Services

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1689029605

  Internal Medicine

  NPD
• Sakuntla PLLC

  • Clinic/Center
  • Petersburg, VA
  • NPI 1245422674
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1922173640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BYRON CT",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275659710",
            "telephone_number": "919-603-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 N ROXBORO RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041826",
            "telephone_number": "919-477-9805",
            "fax_number": "919-479-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CAMILLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-00351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906706",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141TV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Henningsgaard, PA-C
• Henry a Greene OD PA
• Henry Henry-Ajudua, DC
• Kierra Henry-Ajudua
• Vivian Henry-Ajudua, APRN/PMHNP-BC
• Kristin Henry, MSW, LCSWA
• Nikki M. Henry, M.D.
• Stuart M Henry, CST/CSFA
• Tilicea Henry
• Wenshley Rameau Henry

• Internal Medicine Physician in Durham, NC
• Providers in Durham, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.