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DR. JEFFREY HARRIS HENDERSON M.D.
NPI 1235386848
Family Medicine in Winston Salem, NC

Active since August 26, 2008PECOS Enrolled
170 KIMEL PARK DR, WINSTON SALEM, NC 27103(704) 323-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 13, 2017 (3 updates tracked since 2017).

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

NPI1235386848
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEFFREY HARRIS HENDERSONCredential: M.D.
Location Address170 KIMEL PARK DRWinston Salem, NC 27103-6946
Mailing Address4601 Park Rd, Suite 250Charlotte, NC 28209-3239 · (704) 323-2000
Phone(704) 323-2000
Sole ProprietorNo
Enumeration DateAugust 26, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1235386848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2011-00070
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 2011-00070 (NC)
170 KIMEL PARK DR, Winston Salem, NC 27103
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Secondary Practice Location 1

Location 1445 Pineview Dr, Suite 220Kernersville, NC 27284-3817 · Phone (704) 323-2000

Other Identifiers 1

Medicaid1497704217NC

Medicare Participation & PECOS CMS

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

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).

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 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.

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.

MR. SUZONNE IJAMES STRATTON P.A.-C
Physician Assistant
170 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (704) 323-2000
MISS KARLY SUZANNE PUGH PT, DPT, EPC
Physical Therapist
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 765-7058
MR. WILLIAM LEWIS CRAIG III M.D.
Orthopaedic Surgery
170 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (704) 323-2000
JAMES M OWENS PA-C
Physician Assistant
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-1270
MRS. DANA FRANCES GREEN PA-C
Physician Assistant
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-1270
MR. TYLER JOHNSTON PT
Physical Therapist
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-1270
BAILEY WALTZ PT, DPT
Physical Therapist
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 765-7058
MRS. CARRIE KIBLER RHODES PT
Physical Therapist
170 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 765-7058

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.

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.