Lauren I Henderson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

86208 Issued in GA

Practice address

1550 Mulkey Rd
Austell, GA 30106-1112

Phone

(707) 321-1377

Fax

(770) 732-2081

NPI assigned

Apr 29, 2013

Last updated

Jan 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lauren Henderson Lomax Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Morehouse School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta West Dermatology and Surgery Center PCGroup PAC ID 9638135692, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanta West Dermatology & Surgery Center PC

  dba Atlanta West Dermatology PC

  • Dermatology Physician
  • Austell, GA
  • NPI 1174680979
  Medicare reassignment Care Compare group
• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381

  Multi-Specialty

  Medicare reassignment NPD
• Emory Medical Care Foundation Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1225294739

  Multi-Specialty

  NPD
• Advanced Dermatology,P.C.

  • Specialist
  • Douglasville, GA
  • NPI 1932360757

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1669817011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061112",
            "telephone_number": "770-732-1137",
            "fax_number": "770-732-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061112",
            "telephone_number": "707-321-1377",
            "fax_number": "770-732-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Fairfax Ave",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235072007",
            "country_code": "US",
            "telephone_number": "757-446-0593",
            "fax_number": "757-446-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 W Hammer Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952092839",
            "country_code": "US",
            "telephone_number": "209-957-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LAUREN",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "86208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003244191G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "LOMAX",
            "middle_name": "HENDERSON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heart to Heart Companion
• Octavia Moore Hedge, FNP-BC
• Gale Octavia Height
• John W Heisler, PA
• Kimberly Coley Henderson, PHARM.D
• Amanda Hendricks
• Justin Henry, PMHNP-BC
• Logan Herbert
• Jonathon Brent Herbst, MD
• Here 4 You Homecare Agency LLC

• Dermatology Physician in Austell, GA
• Providers in Austell, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.