Doctor profile · Federal record

Dr. David Henderson, PA

Physician Assistant · Pediatric Adolescent Medicine Physician · Fayetteville, NC

  • NPI 1184615239
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1638 Owen Dr
Fayetteville, NC 283043424
(910) 609-4000
Mailing address
Po Box 40908, Attn: Managed Care Planning
Fayetteville, NC 283090908

Credentials & registration

NPPES · NUCC
NPI registered
October 2005 — 21 yrs on file
Profile last updated
July 12, 2016
Specialty taxonomy
363A00000X — NUCC code
State license (1)
North Carolina #100436
Medicaid
SC #1184615239

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1184615239. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$119
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abbott Laboratories 1 $118.99

By nature of payment

Food and Beverage
$119

Frequently asked questions

Auto-generated from federal data
What is Dr. David Henderson's medical specialty?
Dr. David Henderson practices Physician Assistant in Fayetteville, NC.
Where does Dr. David Henderson practice?
Dr. David Henderson practices at 1638 Owen Dr, Fayetteville, NC 283043424. Office phone: 9106094000.
What is Dr. David Henderson's NPI?
Dr. David Henderson's National Provider Identifier (NPI) is 1184615239, issued by NPPES.