LARRY A. HENDERSON, JR. MD – NPI #1215976022
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LARRY HENDERSON, JR. is a physician located in LUCEDALE, MS. NPPES has assigned the NPI number 1215976022 to LARRY HENDERSON, JR. on June 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Dec 24, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY HENDERSON, JR. below.

NPI Profile for
LARRY A. HENDERSON, JR.

NPI Number
1215976022
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY A. HENDERSON, JR.
Credentials
MD
Primary location
92 RATLIFF ST
LUCEDALE, MS 39452-6537
Phone: (601) 947-8181 Fax: (601) 947-4411
Mailing address
PO BOX 1007
LUCEDALE, MS 39452-1007
Phone: (601) 947-8181 Fax: (601) 947-4411
Sole Proprietor
No
Updated
Identifiers

Identifiers for LARRY HENDERSON, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSSAL51523926
OTHERPALMETTO GBAMSP00696992
OTHERUNITED HEALTH CAREAL01-01886
MEDICAIDAL009966685
MEDICAIDFL270736500
MEDICAIDLA1502324
MEDICAIDMS09435313
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MS 19697

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE - Graduated 2001
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LARRY HENDERSON, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • GEORGE REGIONAL HEALTH SYSTEM
      859 WINTER STREET
      LUCEDALE, MS 39452
    • GREENE COUNTY HOSPITAL CAH
      1017 JACKSON STREET
      LEAKESVILLE, MS 39451
  • HOME HEALTH AGENCY
    • DEACONESS HOMECARE- REGION I
      128 SOUTH 11TH AVENUE
      LAUREL, MS 39440
    • ENCOMPASS HEALTH-HOME HEALTH OF THE GULF COAST
      11703 HIGHLAND CIRCLE, SUITE A
      GULFPORT, MS 39503
    • KARE IN HOME HEALTH SERVICES
      10281 CORPORATE DRIVE
      GULFPORT, MS 39503
  • NURSING HOME
    • GEORGE REGIONAL HEALTH & REHAB CENTER
      859 WINTER ST
      LUCEDALE, MS 39452
    • GREENE COUNTY HEALTH AND REHABILITATION
      1017 JACKSON STREET
      LEAKESVILLE, MS 39451
  • HOSPICE
    • HOSPICE OF LIGHT
      1121 OCEAN SPRINGS ROAD
      OCEAN SPRINGS, MS 39564

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