Larry Henderson
Physician Assistant • Live Oak, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Larry Henderson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Larry Henderson was a registered Physician Assistant practicing in Live Oak, FL. Throughout an active medical career spanning 10 years, Larry Henderson provided care at the practice location at 1426 CANYON AVE NE until profile deactivation on 2023-10-21.
Historical Medicare Part B clinical services included emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1426 Canyon Ave Ne
Live Oak, FL 320644832
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Live Oak, FL
Practicing in Live Oak, FL (10376 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99284
Emergency department visit with moderate level of medical decision making
|
30 | 29 | $1453.00 | $101.29 |
|
99283
Emergency department visit with low level of medical decision making
|
26 | 25 | $795.46 | $53.39 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 21, 2023
NPI status registered as active in NPPES database
Registered at 1426 CANYON AVE NE, LIVE OAK, FL 320644832 (Tel: 3862080537)
Registered at 1426 CANYON AVE NE, LIVE OAK, FL 320644832 (Tel: 3862080537)
Recorded as LARRY HENDERSON
Physician Assistant (License #FL2118 in FL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
1426 Canyon Ave Ne
Live Oak, FL 320644832
Phone: 3862080537
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