MS. TANISHA M HENRY PA
NPI 1003879735
Physician Assistant - Medical in Jacksonville, FL
About Ms. Tanisha M Henry Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TANISHA M HENRY PA (NPI 1003879735) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA9103457) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Tanisha M Henry Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Canton-Potsdam Hospital
Acute Care Hospitals · Potsdam, NYGouverneur Hospital
Critical Access Hospitals · Gouverneur, NYSlhs Massena, Inc
Critical Access Hospitals · Massena, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tanisha Henry's NPI number?
The NPI number for Tanisha Henry is 1003879735. It was assigned to this individual provider in the NPPES registry on April 12, 2006.
Where is Tanisha Henry located?
Tanisha Henry practices at 4500 San Pablo Rd S Vincent Stabile Bldg 550N, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Tanisha Henry's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Tanisha Henry enrolled in Medicare?
Yes. Tanisha Henry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Tanisha Henry affiliated with any hospitals?
According to CMS data, Tanisha Henry is affiliated with Canton-Potsdam Hospital, Gouverneur Hospital and Slhs Massena, Inc.
When was this NPI record last updated?
The NPPES record for Tanisha Henry was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Tanisha M Henry, PA · NPI 1003879735
Medical physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since April 12, 2006.
## Identity
- **NPI:** 1003879735 (Entity type: Individual)
- **Enumerated:** April 12, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA9103457 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, VINCENT STABILE BLDG 550N, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** December 18, 2024
- **Other identifiers:** Medicaid 417531260A (GA); Medicaid 2922835-00 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1003879735) · Data from the CMS NPPES public registry.