Doctor profile · Federal record
Dr. Tanisha Henry, PA
Medical Physician Assistant (CMS: Physician Assistant) · Medical Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Jacksonville, FL
- NPI 1003879735
- Accepts Medicare
- 21 yrs in practice
- Licensed in 7 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4500 San Pablo RD S, Vincent Stabile Bldg 550N
Jacksonville, FL 322241865
(904) 953-2000
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- December 18, 2024
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State licenses (7)
- Florida #PA9103457 · Virginia #0110010456 · New York #029626 · California #PA62280 · Wisconsin #724323 · Hawaii #AMD1403 · Illinois #085009476
- Medicaid (2)
- GA #417531260A · FL #2922835-00
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003879735. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genentech USA, INC. | 1 | $16.05 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
51
Patients
34
Total drug cost
$739
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Loperamide (Loperamide Hcl) | Brand | 21 | 17 | $221 |
| Ondansetron Odt (Ondansetron) | Brand | 18 | 17 | $240 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 12 | 0 | $278 |
Hospital affiliations
Frequently asked questions
What is Dr. Tanisha Henry's medical specialty?
Dr. Tanisha Henry practices Medical Physician Assistant in Jacksonville, FL.
Where does Dr. Tanisha Henry practice?
Dr. Tanisha Henry practices at 4500 San Pablo RD S, Jacksonville, FL 322241865. Office phone: 9049532000.
What is Dr. Tanisha Henry's NPI?
Dr. Tanisha Henry's National Provider Identifier (NPI) is 1003879735, issued by NPPES.
Does Dr. Tanisha Henry accept Medicare assignment?
Yes. Dr. Tanisha Henry accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.