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Byeol Ah Henson

Physician Assistant in Greenville, NC. Individual provider (NPI-1).

NPI number1164087094
StatusActive
Last updated in NPPESAug 24, 2020

Details

NPI
1164087094
Entity type
Individual (NPI-1)
Name
Byeol Ah Henson
Sex
Female
Sole proprietor
Yes
Enumeration date
May 6, 2019
Certification date
Aug 24, 2020
Last updated
Aug 24, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant0010-10500NCYes

Practice location

1970 W Arlington Blvd Ste C
Greenville, NC 27834-5783

Phone 252-317-1195 · Fax 252-317-1111

Mailing address

207 Reedhaven Dr
Cary, NC 27513-2763

Other practice locations

4214 N Roxboro St Ste 140
Durham, NC 27704-1888

Phone 919-226-1261 · Fax 919-226-1266

121 Enterprise Dr
Rocky Mount, NC 27804-9516

Phone 252-200-5180 · Fax 252-200-5186

109 Forest Hills Dr Ste 100
Garner, NC 27529-3690

Phone 919-999-1149 · Fax 919-772-1535

7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869

Phone 919-596-3400 · Fax 919-596-3499

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Greenville, NC

All 180 Physician Assistant providers in Greenville · All 7,137 providers in Greenville

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