DR. LARRY A HENDERSON JR. MD
NPI 1215976022
Family Medicine in Lucedale, MS

Q: What is Larry Henderson's NPI number?

The NPI number for Larry Henderson is 1215976022. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Larry Henderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Henderson was last updated on December 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

92 RATLIFF ST, LUCEDALE, MS 39452(601) 947-8181(601) 947-4411 Get Directions Write a Review

NPPES record last updated: December 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 24, 2018, Nov 22, 2016 (2 updates tracked since 2016).

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About Dr. Larry A Henderson Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY A HENDERSON JR. MD (NPI 1215976022) is an individual family medicine provider in Lucedale, Mississippi, licensed in Mississippi (19697) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with George Regional Health System, and is a graduate of University Of South Alabama College Of Medicine (2001).

NPPES Registry Identity

NPI1215976022

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LARRY A HENDERSON JR.Credential: MD

Location Address92 RATLIFF STLucedale, MS 39452-6537

Mailing AddressPo Box 1007Lucedale, MS 39452-1007 · (601) 947-8181 · Fax (601) 947-4411

Phone(601) 947-8181

Fax(601) 947-4411

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2001

Enumeration DateJune 6, 2006

Last NPPES UpdateDecember 24, 20182 updates tracked since enumeration

✔ NPI 1215976022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 19697

Definition

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.

92 RATLIFF ST, Lucedale, MS 39452

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Other Identifiers 7

Medicaid09435313MS

Medicaid270736500FL

Other01-01886AL · United Health Care

Medicaid009966685AL

OtherP00696992MS · Palmetto Gba

Other51523926AL · Blue Cross

Medicaid1502324LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Dr. Larry A Henderson Jr. Md 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.

PECOS PAC ID9032170758

PECOS Enrollment IDI20070802000443

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

George Regional Health System

Acute Care Hospitals · Lucedale, MS

OwnershipGovernment - Local

CMS Certification Number250036

Location859 Winter StreetLucedale, MS 39452 · George County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers109 claims218 services$5.57 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

2 suppliers55 claims57 services$0.99 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

1 supplier11 claims132 services$1.94 avg. paid by Medicare

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$23.88 avg. paid by Medicare

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

2 suppliers19 claims665 services$1.84 avg. paid by Medicare

Intermittent urinary catheter, with insertion supplies A4353

DME-Orthotic Devices · category DF008N

3 suppliers15 claims1,500 services$6.55 avg. paid by Medicare

Insertion tray with drainage bag but without catheter A4354

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims12 services$10.44 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers37 claims55 services$7.53 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

2 suppliers11 claims215 services$3.44 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

4 suppliers12 claims650 services$0.22 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers15 claims30 services$61.66 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

2 suppliers15 claims90 services$25.15 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers12 claims44 services$23.49 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers11 claims11 services$69.15 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers14 claims14 services$21.04 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers18 claims46 services$3.02 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers27 claims766 services$7.66 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims6,258 services$0.48 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

2 suppliers12 claims12 services$71.80 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier35 claims35 services$67.73 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers41 claims41 services$20.76 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers32 claims32 services$7.73 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier17 claims17 services$13.92 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers82 claims83 services$110.80 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier33 claims33 services$34.78 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers25 claims25 services$209.36 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers16 claims16 services$25.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER E LANSDOWN M.D.

Family Medicine