AUDREY M HENDERSON M.D.
NPI 1639161102
Family Medicine in Augusta, GA

Active since August 19, 2005
1109 MEDICAL CENTER DR, SUITE 3, AUGUSTA, GA 30909(706) 860-4567(706) 860-4489 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Audrey M Henderson M.d. NPPES

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

AUDREY M HENDERSON M.D. (NPI 1639161102) is an individual family medicine provider in Augusta, Georgia, licensed in Georgia (GA029884) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1639161102
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAUDREY M HENDERSONCredential: M.D.
Location Address1109 MEDICAL CENTER DR, SUITE 3Augusta, GA 30909-6644
Mailing Address1109 Medical Center Dr, Suite 3Augusta, GA 30909-6644 · (706) 860-4567 · Fax (706) 860-4489
Fax(706) 860-4489
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateNovember 16, 2016
NPI 1639161102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · GA029884 Licensed in GA · 029884
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.
1109 MEDICAL CENTER DR, Augusta, GA 30909

Other Identifiers 4

Medicaid00383897AGA
Medicare ID-Type Unspecified08BBQMG
Medicare UPINS26087
Medicare ID-Type UnspecifiedGRP6154

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
83%525 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
73%713 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
21%279 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
13%1,071 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Specialist
1109 MEDICAL CENTER DR, SUITE 8B
AUGUSTA, GA 30909
Legal Medicine
1109 MEDICAL CENTER DR, SUITE 1A
AUGUSTA, GA 30909
Ambulance (Air Transport)
1109 MEDICAL CENTER DR, BLDG 4
AUGUSTA, GA 30909
Internal Medicine (Nephrology)
1109 MEDICAL CENTER DR, BUILDING #5
AUGUSTA, GA 30909
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1109 MEDICAL CENTER DR, BUILDING 3
AUGUSTA, GA 30909
Specialist
1109 MEDICAL CENTER DR, SUITE 8B
AUGUSTA, GA 30909
Anesthesiology (Pain Medicine)
1109 MEDICAL CENTER DR, 8A
AUGUSTA, GA 30909
Pathology (Anatomic Pathology & Clinical Pathology)
1109 MEDICAL CENTER DR, SUITE 1A
AUGUSTA, GA 30909

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 Audrey Henderson's NPI number?

The NPI number for Audrey Henderson is 1639161102. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Audrey Henderson located?

Audrey Henderson practices at 1109 Medical Center Dr Suite 3, Augusta, GA 30909. The listed phone number is (706) 860-4567.

What is Audrey Henderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Audrey Henderson was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.