Corey H. Henderson MD PA
NPI 1689792624 · Specialist · Tavares, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Corey H. Henderson MD PA is a Specialist organization in Tavares, FL (NPI 1689792624).
Provider details
- NPI number
- 1689792624
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Corey Henderson, Owner(407) 221-1706
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2022-05-27
- Certified
- 2022-05-27
Frequently asked questions
- What is Corey H. Henderson MD PA's NPI number?
- Corey H. Henderson MD PA's National Provider Identifier (NPI) is 1689792624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Corey H. Henderson MD PA?
- Corey H. Henderson MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Corey H. Henderson MD PA located?
- Corey H. Henderson MD PA's practice location on file with NPPES is 1000 Waterman Way, Tavares, FL 32778.
- What is Corey H. Henderson MD PA's phone number?
- The practice phone number listed in the NPPES registry for Corey H. Henderson MD PA is (407) 886-8164.
- Does Corey H. Henderson MD PA accept Medicare?
- Corey H. Henderson MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Corey H. Henderson MD PA?
- The authorized official listed on Corey H. Henderson MD PA's NPPES record is Corey Henderson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Corey H. Henderson MD PA's NPI active?
- Yes — Corey H. Henderson MD PA's NPI (1689792624) is active in the NPPES registry as of the last update on 2022-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.