Travis T Henderson, MD | |
1135 Carthage St, Central Carolina Radiology, Sanford, NC 27330-4162 | |
(919) 777-7092 | |
(919) 774-2399 |
Full Name | Travis T Henderson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 1135 Carthage St, Sanford, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679539381 | NPI | - | NPPES |
5911860 | Medicaid | NC | |
153AM | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2009-00720 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Carolina Hospital | Sanford, NC | Hospital |
Union General Hospital | Blairsville, GA | Hospital |
Habersham County Medical Ctr | Demorest, GA | Hospital |
Upson Regional Medical Center | Thomaston, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Georgia Radiology Associates Llc | 0042389231 | 36 |
South Georgia Radiology Associates Llc | 0042389231 | 36 |
Mid-carolina Radiology Associates P.a. | 8325017908 | 2 |
Entity Name | South Georgia Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
Mailing Address | Practice Location Address |
---|---|
Travis T Henderson, MD P O Box 120590, Newport News, VA 23612-0590 Ph: (757) 867-6101 | Travis T Henderson, MD 1135 Carthage St, Central Carolina Radiology, Sanford, NC 27330-4162 Ph: (919) 777-7092 |
Richard Berry Caswell Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1135 Carthage St, Central Carolina Hospital, Sanford, NC 27330 Phone: 919-777-7092 Fax: 919-774-2399 | |
Dr. Sreejit Nair, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 821 S Horner Blvd, Sanford, NC 27330 Phone: 919-589-6968 | |
Dr. Kirk Shane Russell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Blue Heron Ct, Sanford, NC 27332 Phone: 718-807-5166 Fax: 718-807-5166 |