NICARRO HENDERSON (NPI# 1205373917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205373917 |
| Entity Type | Individual |
| Full Name | NICARRO HENDERSON |
| Practice Address |
2005 E Dawson Rd Albany GA 31707 |
| Practice Telephone | 2298097246 |
| Mailing Telephone | 2298097246 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | CO102526 | GA | Other Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | CO102526 | GA | Suppliers |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
CO102526 | GA | Suppliers |
| Street Address |
2005 E DAWSON RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| 1487098174 | Nexus Pain Center of Albany LLC | Anesthesiology | 2810 Meredyth Drive, Suite 100, Albany, GA 31707 | 2013-04-24 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578873790 | Pmr Newkirk Inc. | Durable Medical Equipment & Medical Supplies | 22 Railroad Ave, Albany, NY 12205-5727 | 2010-10-21 |
| 1386624088 | Home Medical Systems Inc | Durable Medical Equipment & Medical Supplies | 1901 N Slappey Blvd, Suite C, Albany, GA 31701-1443 | 2006-01-19 |
| 1619978137 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 258 Burkesville Rd, Albany, KY 42602-1604 | 2005-08-09 |
| 1417956889 | U Save It Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1315 Dawson Rd, Albany, GA 31707-3853 | 2005-07-19 |
| 1548269913 | U Save It Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 2112 Palmyra Rd, Albany, GA 31701-1320 | 2005-07-19 |
| 1629077904 | Jdf Corporation | Durable Medical Equipment & Medical Supplies | 2624 Meredyth Dr, Albany, GA 31707-0206 | 2005-07-19 |
| 1467998963 | New Attitude Prosthetic Designs Inc. | Durable Medical Equipment & Medical Supplies | 90 State St Ste 700, Albany, NY 12207-1707 | 2017-01-09 |
| 1902232390 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 12 Jupiter Ln, Albany, NY 12205-6918 | 2013-09-18 |
| 1770928897 | Charles M. Tramontana Dds PC | Durable Medical Equipment & Medical Supplies | 576 Sand Creek Rd, Albany, NY 12205-2434 | 2013-05-02 |
| 1356530190 | Bruce A Peckage Dpm PC | Durable Medical Equipment & Medical Supplies | 995 State St, Albany, NY 12203-1611 | 2007-10-17 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.