Kevin Henderson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

057302 Issued in GA

Practice address

4080 McGinnis Ferry Rd Ste 402
Alpharetta, GA 30005-3949

Phone

(709) 551-8147

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Covenant Clincal Partners, LLC

  • Health Service Clinic/Center
  • Alpharetta, GA
  • NPI 1922956325
  NPD Authorized official
• Monroe Hma Inc

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1710926241
  NPD (past)
• Monroe Hma Physician Management LLC

  • Internal Medicine Physician
  • Monroe, GA
  • NPI 1992757306
  NPD (past)
• Monroe Hma, LLC

  • General Acute Care Hospital
  • Monroe, GA
  • NPI 1043265564
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1346298940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 402",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053949",
            "telephone_number": "770-955-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 402",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053949",
            "telephone_number": "709-551-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "057302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520950819A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keevil W. Helmly, PA-C
• Robin P Helmstadter, RPH
• Laura C Hemer
• Anna Henderson, M.ED
• Josh Matthew Henderson
• Matt Henderson
• Tayla Henderson, PT, DPT
• Terrance B Henderson, AGNP-C
• Molly Henkes, OTRL
• Allison Henry-Comrie, MD

• Internal Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.