Johnathan E Henderson (NPI# 1154327856, PAC ID# 1254308570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154327856 |
| PAC ID by PECOS | 1254308570 |
| Professional Enrollment ID | I20040915000498 |
| Full Name | Johnathan E Henderson |
| Organization Legal Name | FLOYD HEALTHCARE MANAGEMENT INC |
| Address |
304 Shorter Nwave Suite 201 Rome GA 30165-4256 |
| Phone Number | 7065093300 |
| Gender | M |
| Credential | MD |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193633386 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110054 | FLOYD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 304 Shorter Nwave, Suite 201, Rome, GA 30165-4256 | 7065093300 | FLOYD HEALTHCARE MANAGEMENT INC |
| 304 Turner Mccall Swblvd, Rome, GA 30165-5621 | 7065096800 | FLOYD HEALTHCARE MANAGEMENT INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 79% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 79% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 58% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 58% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% |
| Organization Legal Name | FLOYD HEALTHCARE MANAGEMENT INC |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lourdes C Irizar | Nurse Practitioner | Floyd Healthcare Management Inc | 6000 Joe Frank Harris Nwpkwy, Adairsville, GA 30103-2443 |
| Jordan Vaughn | Nurse Practitioner | Floyd Healthcare Management Inc | 302 Shorter Ave Nw, Rome, GA 30165-4268 |
| Mary Watson Keith | Family Medicine | Floyd Healthcare Management Inc | 11766 Hwy 27, Summerville, GA 30747-5989 |
| Shelle R Glover | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Rome, GA 30165-4256 |
| Patricia Annette Barrett | Nurse Practitioner | Floyd Healthcare Management Inc | 4159 Martha Berry Nwhwy, Rome, GA 30165-7705 |
| Jacquelyn M Cheatham-terry | Family Medicine | Floyd Healthcare Management Inc | 1025 N Main St, Cedartown, GA 30125-2036 |
| Kristie L Burt | Nurse Practitioner | Floyd Healthcare Management Inc | 391 Northwood Dr, Centre, AL 35960-1020 |
| April H Connell | Nurse Practitioner | Floyd Healthcare Management Inc | 395 Northwood Dr, Centre, AL 35960-1045 |
| Ashley B Millican | Nurse Practitioner | Floyd Healthcare Management Inc | 2 Three Mile Rd Ne, Rome, GA 30165-9764 |
| Lauren B Horn | Nurse Practitioner | Floyd Healthcare Management Inc | 330 Turner Mccall Sw Blvd, Rome, GA 30165-5631 |
| Street Address |
304 SHORTER NWAVE SUITE 201 |
| City | ROME |
| State | GA |
| Zip | 30165-4256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelle R Glover | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Rome, GA 30165-4256 |
| Wilma Briones -mull | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Rome, GA 30165-4290 |
| Linda H Hoffman | Nurse Practitioner | Floyd Healthcare Management Inc | 304 Shorter Nwave, Suite 102, Rome, GA 30165-4289 |
| John J Desmond Iv | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Rome, GA 30165-4256 |
| Charmaine B Thomas | Nurse Practitioner | Floyd Healthcare Management Inc | 304 Shorter Nwave, Suite 102, Rome, GA 30165-4289 |
| Stephanie L Stutz | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Suite 201, Rome, GA 30165-4256 |
| Frank R Don Diego | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Rome, GA 30165-4256 |
| Catherine M Strickland | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Suite 102, Rome, GA 30165-4289 |
| David L Childs | Family Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Suite 102, Rome, GA 30165-4289 |
| Robert H Holcombe | Internal Medicine | Floyd Healthcare Management Inc | 304 Shorter Nwave, Rome, GA 30165-4290 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Leonard | Nurse Practitioner | Highland Rivers Community Service Board | 6 Mathis Dr Nw, Suite B, Rome, GA 30165-1242 |
| Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Shola Adewunmi | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tresselyn Douglas Adams | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Ephi J Betan | Psychologist, Clinical | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Cathleen Ann Hulbert | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Nurah J Walton | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Catherine L Hoover | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Tina R. Folden | Nurse Practitioner | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Willie James Campbell | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Find all physicians in zip 30165 | |||
| City | ROME |
| Zip Code | 30165 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROME + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Johnathan E Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.