PAUL MANNING HENDERSON M.D.
NPI 1225079254
Family Medicine in Raleigh, NC

Active since June 09, 2006PECOS Enrolled
3320 EXECUTIVE DR, SUITE 214, RALEIGH, NC 27609(919) 878-8596(919) 878-0744 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Manning Henderson M.d. NPPES

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

PAUL MANNING HENDERSON M.D. (NPI 1225079254) is an individual family medicine provider in Raleigh, North Carolina, licensed in North Carolina (9900871) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225079254
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL MANNING HENDERSONCredential: M.D.
Location Address3320 EXECUTIVE DR, SUITE 214Raleigh, NC 27609-7445
Mailing Address3320 Executive Dr, Suite 214Raleigh, NC 27609-7445 · (919) 878-8596 · Fax (919) 878-0744
Fax(919) 878-0744
Sole ProprietorYes
Enumeration DateJune 9, 2006
Last NPPES UpdateJune 26, 2012
NPI 1225079254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 9900871
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.
3320 EXECUTIVE DR, Raleigh, NC 27609

Other Identifiers 2

Medicare UPINH32576NC
Medicare ID-Type Unspecified2284417C

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paul Manning Henderson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Ophthalmology
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Ophthalmology
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Ophthalmology
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Specialist
3320 EXECUTIVE DR, SUITE 218
RALEIGH, NC 27609
Family Medicine
3320 EXECUTIVE DR, SUITE 214
RALEIGH, NC 27609
Clinic/Center (Primary Care)
3320 EXECUTIVE DR, SUITE 214
RALEIGH, NC 27609
Optometrist
3320 EXECUTIVE DR, SUITE 111
RALEIGH, NC 27609
Physical Therapist
3320 EXECUTIVE DR, SUITE 210
RALEIGH, NC 27609

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 Paul Henderson's NPI number?

The NPI number for Paul Henderson is 1225079254. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Paul Henderson located?

Paul Henderson practices at 3320 Executive Dr Suite 214, Raleigh, NC 27609. The listed phone number is (919) 878-8596.

What is Paul Henderson's specialty?

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

Is Paul Henderson enrolled in Medicare?

Yes. Paul Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Henderson was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.