| Travis T Henderson, MD | |
|
1135 Carthage St, Central Carolina Radiology, Sanford, NC 27330-4162 | |
| (919) 777-7092 | |
| (919) 774-2399 |
| Full Name | Travis T Henderson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 1135 Carthage St, Sanford, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679539381 | NPI | - | NPPES |
| 5911860 | Medicaid | NC | |
| 153AM | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2009-00720 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Carolina Hospital | Sanford, NC | Hospital |
| Habersham County Medical Ctr | Demorest, GA | Hospital |
| Union General Hospital | Blairsville, GA | Hospital |
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Radiology Associates Llc | 0042389231 | 34 |
| South Georgia Radiology Associates Llc | 0042389231 | 34 |
| Burke Primary Care Llc | 1759339948 | 22 |
| Mid Carolina Radiology Associates Pa | 8325017908 | 2 |
| Entity Name | South Georgia Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis T Henderson, MD P O Box 120590, Newport News, VA 23612-0590 Ph: (757) 867-6101 | Travis T Henderson, MD 1135 Carthage St, Central Carolina Radiology, Sanford, NC 27330-4162 Ph: (919) 777-7092 |
Richard Berry Caswell Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1135 Carthage St, Central Carolina Hospital, Sanford, NC 27330 Phone: 919-777-7092 Fax: 919-774-2399 | |
Dr. Sreejit Nair, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 821 S Horner Blvd, Sanford, NC 27330 Phone: 919-589-6968 |