Individual provider Active NPI

Misty Henson

  • Assisted Living Facility
  • Dawsonville, GA
National Provider Identifier
1629723465
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
PCH009333 Issued in GA
Practice address
50 Tanglewood Dr
Dawsonville, GA 30534-8140
Phone
(706) 960-2483
Fax
(706) 960-2499
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PCH009333 GA Primary

Addresses

Primary practice location

50 Tanglewood Dr
Dawsonville, GA 30534-8140

Mailing address

50 Tanglewood Dr
Dawsonville, GA 30534-8140
Phone (706) 960-2483

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whisperingwillow24@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PCH009333GAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Whispering Willow Assisted Living Facility CurrentSince May 25, 2025 Accepting new patients

Locations

50 Tanglewood Dr
Dawsonville, GA 30534
Phone (706) 867-0106

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1629723465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TANGLEWOOD DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348140",
            "telephone_number": "706-960-2483",
            "fax_number": "706-960-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TANGLEWOOD DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348140",
            "telephone_number": "706-960-2483",
            "fax_number": "706-960-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "MISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "PCH009333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whisperingwillow24@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 Tanglewood Dr",
            "city": "Dawsonville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305348140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.