Rebecca Campbell Henderson, MSN, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN215973 Issued in GA

Practice address

1614 Virginia Pine Cir SW
Lilburn, GA 30047-5670

Phone

(404) 797-2783

NPI assigned

Sep 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Campbell Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

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.

• Vitas Healthcare Corporation of Georgia

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1669112843
  NPD (past)
• Vitas Healthcare Corporation of Georgia

  • Community Based Hospice Care Agency
  • Atlanta, GA
  • NPI 1932242260

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1760032494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 VIRGINIA PINE CIR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475670",
            "telephone_number": "404-797-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 VIRGINIA PINE CIR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475670",
            "telephone_number": "404-797-2783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Riveredge Pkwy Ste Gl100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285812",
            "country_code": "US",
            "telephone_number": "404-843-6500",
            "fax_number": "404-843-6510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "REBECCA",
        "middle_name": "CAMPBELL",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN215973",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "GA",
            "license": "RN215973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SMITH",
            "middle_name": "CAMPBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thaddeus Harvey Jr., DDS
• Aimon Hazari, OD
• Melodie Anne (Or Desanto) Head
• Hear Better Holdings of Gwinnett
• Glenn Craig Heigerick, DO
• Uyen Ho Hernandez, PHARMD
• Camelia Hicks
• Jerica Demetrus Hicks
• Steven Thomas Hightshue, PT, DPT
• Ebony Chanel Hill

• Family Medicine Physician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.