Active NPI
Haley McGinnis Henderson, NP-C
- Nurse Practitioner
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN222788
- Practice address
- 85 John Maddox Drive Connector NW
Rome, GA 30165-1233 - Phone
- (762) 235-2990
- Fax
- (706) 238-8031
- NPI assigned
- Jul 25, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN222788 | GA | Primary |
Addresses
Primary practice location
85 John Maddox Drive Connector NW
Rome, GA 30165-1233
Mailing address
221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | haley.henderson.1@1498.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.23 of 100
- Quality
- 65.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Harbin Clinic, LLC | Current | Accepting new patients |
Locations
1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073
221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000
85 John Maddox Drive Connector NW
Rome, GA 30165
Phone (762) 235-2990
330 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 802-2000
101 Redmond Rd NW
Rome, GA 30165
Phone (706) 290-1330
330 Turner McCall Blvd SW
Ste 4000
Rome, GA 30165
Phone (706) 295-5331
Interoperability endpoints
- haley.henderson.1@1498.direct.athenahealth.com
- hhenderson3004837@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Rome, GA
- NPI 1679599088
-
- Ambulatory Surgical Clinic/Center
- Rome, GA
- NPI 1447385158
-
- Ambulatory Surgical Clinic/Center
- Cartersville, GA
- NPI 1467016055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1962925545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 TECHNOLOGY PKWY NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651369",
"telephone_number": "762-235-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 JOHN MADDOX DRIVE CONNECTOR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651233",
"telephone_number": "762-235-2990",
"fax_number": "706-238-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "HALEY",
"middle_name": "MCGINNIS",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN222788",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "haley.henderson.1@1498.direct.athenahealth.com",
"affiliation": "N",
"address_1": "85 John Maddox Drive Connector NW",
"city": "Rome",
"state": "GA",
"country_code": "US",
"postal_code": "301651233",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.