DR. JEFFREY HARRIS HENDERSON M.D.
NPI 1235386848
Family Medicine in Winston Salem, NC
About Dr. Jeffrey Harris Henderson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY HARRIS HENDERSON M.D. (NPI 1235386848) is an individual family medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2011-00070) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kernersville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeffrey Harris Henderson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greensboro, NC 27401
- Reassigned Medicare billing, North Carolina enrollment
- 408 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jeffrey Henderson's NPI number?
The NPI number for Jeffrey Henderson is 1235386848. It was assigned to this individual provider in the NPPES registry on August 26, 2008.
Where is Jeffrey Henderson located?
Jeffrey Henderson practices at 170 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (704) 323-2000.
What is Jeffrey Henderson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeffrey Henderson enrolled in Medicare?
Yes. Jeffrey Henderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeffrey Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Henderson reassigns Medicare benefits to The Moses H Cone Memorial Hospital Operating Corporation (Greensboro, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeffrey Henderson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jeffrey Harris Henderson, M.D. · NPI 1235386848
Family Medicine physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since August 26, 2008.
## Identity
- **NPI:** 1235386848 (Entity type: Individual)
- **Enumerated:** August 26, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2011-00070 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 KIMEL PARK DR, Winston Salem, NC 27103-6946
- **Phone:** (704) 323-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Moses H Cone Memorial Hospital Operating Corporation (NPI 1356372064, Greensboro, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 1497704217 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1235386848) · Data from the CMS NPPES public registry.