Henderson Medical Clinic, PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HENDERSON MEDICAL CLINIC, PA

Doing business as

Abernathy Medical Clinic

Practice address

409 8TH St
Abernathy, TX 79311-3416

Phone

(806) 298-5884

Fax

(806) 298-5889

NPI assigned

Apr 10, 2007

Last updated

Feb 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bryan L Williams, BBA

Title

Business Manager

Phone

(806) 771-1166

Specialties & licenses 3

Addresses

Other names 1

• Abernathy Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard A Henderson, M.D.

  • Internal Medicine Physician
  • Lubbock, TX
  • NPI 1427002336
  Medicare reassignment NPD
• Rita Sue Mitchell, RN,MSN, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1790978088
  Medicare reassignment NPD
• Alberta Jean Palmer, FNP

  • Family Nurse Practitioner
  • Abernathy, TX
  • NPI 1649226424
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1982827945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 8TH ST",
            "city": "ABERNATHY",
            "state": "TX",
            "postal_code": "793113416",
            "telephone_number": "806-298-5884",
            "fax_number": "806-298-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 8TH ST",
            "city": "ABERNATHY",
            "state": "TX",
            "postal_code": "793113416",
            "telephone_number": "806-298-5884",
            "fax_number": "806-298-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "806-771-1166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5115",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "533693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abernathy Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CP Healthcare, LLC (Abernathy Drug & Mercantile)
• Educare Community Living Limited Partnership
• Ashley J Elliott
• Mari Lynn Evans, L.P.C.
• Maria Teresa Flores, MSN, APRN, FNP-BC
• King Pinson Pharmacy (King Pharmacy)
• Mark King, RPH
• Ross Wayne May, LPT
• Rebekah Elizabeth Miller, LPC-S, LSSP
• Alberta Jean Palmer, FNP

• Rural Health Clinic/Center in Abernathy, TX
• Providers in Abernathy, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.