Alasdeeme Joshua Henry, M.D.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

001076768 Issued in GA

Practice address

5250 Highway 138
Ste 4612
Union City, GA 30291-6538

Phone

(678) 509-5056

Fax

(678) 509-5057

NPI assigned

Sep 26, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1679824049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 HIGHWAY 138",
            "address_2": "STE 4612",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302916538",
            "telephone_number": "678-509-5056",
            "fax_number": "678-509-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 HIGHWAY 138",
            "address_2": "STE 4612",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302916538",
            "telephone_number": "678-509-5056",
            "fax_number": "678-509-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ALASDEEME",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "GA",
            "license": "001076768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• He Cares Medical Walk in Clinic, LLC
• Heal, Inc
• Helping to Heal Counseling Services LLC
• Rejina Hendricksen, D.C.
• Robert Jabari Hendrix
• Kaliyah Hill
• Melissa Garrett Hill, D.M.D.
• Maurita Marice Hodge, ED.D, LPC
• Nina Howard, M.ED.,CCC-SLP/L
• Genner Amisheonna Hunter, ARNP

• Custodial Care Facility in Union City, GA
• Providers in Union City, GA by specialty
• Custodial Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.