Individual provider Active NPI

James Daniel Henry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Augusta, GA
National Provider Identifier
1972183077
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD305035 Issued in GA
Practice address
1416 Wainbrook Dr
Augusta, GA 30909-6289
Phone
(706) 312-3668
Fax
(706) 312-3670
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD305035 GA Primary

Addresses

Primary practice location

1416 Wainbrook Dr
Augusta, GA 30909-6289

Mailing address

318 High Chaparral Dr
Augusta, GA 30907-5106

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003997 GA Practitioner - Podiatry 4486058112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

1416 Wainbrook Dr
Augusta, GA 30909-6289
Phone (706) 312-3668

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue396
Removal or shaving of skin growth142
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Sep 23, 2024 Accepting new patients
Village Podiatry Group II, LLC. Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Sep 23, 2024 Accepting new patients
Village Podiatry Group II, LLC. CurrentSince Jan 15, 2025 Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

1416 Wainbrook Dr
Augusta, GA 30909
Phone (706) 312-3668

1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882

4350 Towne Centre Dr
Ste 1400
Evans, GA 30809
Phone (706) 620-3572

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: james.henry.1@4399.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1972183077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HIGH CHAPARRAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309075106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 WAINBROOK DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096289",
            "telephone_number": "706-312-3668",
            "fax_number": "706-312-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD305035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.