WHITNEY FAMILY MEDICINE
NPI 1366862310
Family Medicine in Whitney, TX
About Whitney Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITNEY FAMILY MEDICINE (NPI 1366862310) is a healthcare organization registered as a family medicine in Whitney, Texas and active in the NPI registry since April 2014. The organization holds a CLIA Microscopy certificate valid through June 18, 2028 and lists Randall Dale Henderson, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Whitney Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Whitney Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2079649
Whitney Family Medicine · Whitney, TXFrequently 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 Randall Henderson, D.O. PLLC's NPI number?
The NPI number for Randall Henderson, D.O. PLLC is 1366862310. It was assigned to this organization in the NPPES registry on April 17, 2014. The provider is doing business as Whitney Family Medicine.
Where is Randall Henderson, D.O. PLLC located?
Randall Henderson, D.O. PLLC is located at 1314 N Brazos St, Whitney, TX 76692. The listed phone number is (254) 694-3621.
What is Randall Henderson, D.O. PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Randall Henderson, D.O. PLLC enrolled in Medicare?
Yes. Randall Henderson, D.O. PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Randall Henderson, D.O. PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Randall Henderson, D.O. PLLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (1) and Family Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Randall Henderson, D.O. PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2079649) is associated with this NPI, valid through June 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Randall Henderson, D.O. PLLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Randall Henderson, D.O. PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Randall Henderson, D.O. PLLC was last updated on April 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Whitney Family Medicine · NPI 1366862310
Family Medicine organization in Whitney, Texas. Organization record, active in the CMS NPPES registry since April 17, 2014.
## Identity
- **NPI:** 1366862310 (Entity type: Organization)
- **Enumerated:** April 17, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Randall Henderson, D.o. Pllc
- **Organization subpart:** No
- **Authorized official:** Randall Henderson, MANAGING MEMBER
## Practice location
- **Address:** 1314 N BRAZOS ST, Whitney, TX 76692-2010
- **Phone:** (254) 694-3621 · **Fax:** (254) 694-7436
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Social Worker (1), Family Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366862310) · Data from the CMS NPPES public registry.