GLEN A. HENRY M.D., F.A.C.C. – NPI #1720077324
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

GLEN HENRY is a physician located in GAINESVILLE, GA. NPPES has assigned the NPI number 1720077324 to GLEN HENRY on October 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on Apr 14, 2026. 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 GLEN HENRY below.

NPI Profile for
GLEN A. HENRY

NPI Number
1720077324
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLEN A. HENRY
Credentials
M.D., F.A.C.C.
Primary location
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 30501-3466
Phone: (770) 534-2020 Fax:
3 Other location(s):
2 Devine Street
Suite # 1
North Haven, CT 06473-2193
Phone: (203) 789-2272
Fax: (203) 865-8614
950 Warren Ave Ste 201
East Providence, RI 02914-1432
Phone: (401) 606-1004
Fax: (401) 606-1153
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5891
Fax: (401) 444-8158
Mailing address
PO BOX 742616
ATLANTA, GA 30374-2616
Phone: (770) 219-8420 Fax: (770) 219-8840
Sole Proprietor
No
Updated
Certification Date
Apr 14, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GLEN HENRY

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.

DescriptionIssuerStateIdentifier
otherMEDICARE RAILROAD PINCT060050671
medicaidCT001333286
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
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)		 CT 033328

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

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
Affiliations
GLEN HENRY is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHEAST GEORGIA MEDICAL CENTER, INC
      743 SPRING STREET
      GAINESVILLE, GA 30501
    • YALE-NEW HAVEN HOSPITAL
      20 YORK ST
      NEW HAVEN, CT 06504

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