DR. GLEN A HENRY M.D., F.A.C.C.
NPI 1720077324
Internal Medicine - Interventional Cardiology in Gainesville, GA
About Dr. Glen A Henry M.d., F.a.c.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLEN A HENRY M.D., F.A.C.C. (NPI 1720077324) is an individual interventional cardiology provider in Gainesville, Georgia, licensed in Georgia (033328) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Glen A Henry M.d., F.a.c.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Glen Henry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 132 clinicians in this Medicare group
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 1,372 clinicians in this Medicare group
Providence, RI 02904
- Reassigned Medicare billing, Rhode Island enrollment
- 106 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.
Areas of Expertise CMS Part B claims 19
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GANortheast Georgia Medical Center Habersham
Acute Care Hospitals · Demorest, GANgmc Barrow, LLC
Acute Care Hospitals · Winder, GAUnion General Hospital
Acute Care Hospitals · Blairsville, GANortheast Georgia Medical Center Lumpkin
Acute Care Hospitals · Dahlonega, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
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 Glen Henry's NPI number?
The NPI number for Glen Henry is 1720077324. It was assigned to this individual provider in the NPPES registry on October 17, 2005.
Where is Glen Henry located?
Glen Henry practices at 200 S Enota Dr NE Ste 200, Gainesville, GA 30501. The listed phone number is (770) 534-2020.
What is Glen Henry's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Glen Henry enrolled in Medicare?
Yes. Glen Henry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Glen Henry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glen Henry reassigns Medicare benefits to 3 organizations: Georgia Heart Institute LLC (Gainesville, GA), Lifespan Physician Group, Inc. (Providence, RI) and The Miriam Hospital (Providence, RI). Each 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 Glen Henry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Glen Henry affiliated with any hospitals?
According to CMS data, Glen Henry is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Ngmc Barrow, LLC, Union General Hospital and Northeast Georgia Medical Center Lumpkin.
When was this NPI record last updated?
The NPPES record for Glen Henry was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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. Glen A Henry, M.D., F.A.C.C. · NPI 1720077324
Interventional Cardiology physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since October 17, 2005.
## Identity
- **NPI:** 1720077324 (Entity type: Individual)
- **Enumerated:** October 17, 2005
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** 033328 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 S ENOTA DR NE STE 200, Gainesville, GA 30501-3466
- **Phone:** (770) 534-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Georgia Heart Institute LLC (NPI 1477976520, Gainesville, GA); Lifespan Physician Group, Inc. (NPI 1174484216, Providence, RI); The Miriam Hospital (NPI 1851677470, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** April 14, 2026
- **Other identifiers:** Other 060050671 (CT); Medicaid 001333286 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1720077324) · Data from the CMS NPPES public registry.