Active NPI
Alexandria M Henderson, PA
- Physician Assistant
- Georgetown, IN
National Provider Identifier
1821902552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10005544A
- Practice address
- 5300 State Road 64 Ste 101
Georgetown, IN 47122-9178 - Phone
- (812) 738-4251
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10005544A | IN | Primary |
Addresses
Primary practice location
5300 State Road 64 Ste 101
Georgetown, IN 47122-9178
Mailing address
PO Box 38
Corydon, IN 47112-0038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1821902552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38",
"city": "CORYDON",
"state": "IN",
"postal_code": "471120038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 STATE ROAD 64 STE 101",
"city": "GEORGETOWN",
"state": "IN",
"postal_code": "471229178",
"telephone_number": "812-738-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ALEXANDRIA",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10005544A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.