Individual provider Active NPI

Jaushai Henry

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1386333987
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R237760 Issued in MD
Practice address
255 E Paces Ferry Rd NE
Atlanta, GA 30305-2233
Phone
(301) 335-7960
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R237760 MD Primary
Registered Nurse 163W00000X R237760 MD

Addresses

Primary practice location

255 E Paces Ferry Rd NE
Atlanta, GA 30305-2233

Mailing address

255 E Paces Ferry Rd NE
Atlanta, GA 30305-2233
Phone (301) 335-7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260317001913 MD Practitioner - Nurse Practitioner 5395228464 Reassigns benefits to 3 organizations
I20260317002689 DC Practitioner - Nurse Practitioner 5395228464 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians

Practice addresses (Care Compare)

10 N Rock Glen Rd
Baltimore, MD 21229-3250
Phone (410) 646-2100

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R237760MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toller Enterprises LLC CurrentSince Feb 4, 2026 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Feb 4, 2026 Accepting new patients
Spiritual Healing CurrentSince Feb 4, 2026 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Feb 4, 2026 Accepting new patients

Locations

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1386333987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E PACES FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052233",
            "telephone_number": "301-335-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E PACES FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052233",
            "telephone_number": "301-335-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JAUSHAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R237760",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R237760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.