Terrance B Henderson, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

GAA-NP000193 Issued in GA

Practice address

3180 N Point Pkwy Ste 302
Alpharetta, GA 30005-4381

Phone

(404) 800-5181

NPI assigned

Aug 4, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA, Nurse Practitioner

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1003580986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 SATELLITE BLVD UNIT 2119",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965904",
            "telephone_number": "317-373-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 302",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054381",
            "telephone_number": "404-800-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TERRANCE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP000193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Duluth",
            "affiliation": "N",
            "address_1": "2789 Satellite Blvd Unit 2119",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300965904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Henderson, M.ED
• Josh Matthew Henderson
• Kevin Henderson, M.D.
• Matt Henderson
• Tayla Henderson, PT, DPT
• Molly Henkes, OTRL
• Allison Henry-Comrie, MD
• Courtney Henson, DC
• Bradley Hepler, D.D.S.
• Heritage Wellness Center LLC

• Nurse Practitioner in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.