EDWINA HENRY MD
NPI 1043949746
Family Medicine in Stockbridge, GA

Active since June 08, 2022PECOS EnrolledAccepts Medicare Assignment
1240 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281(770) 389-3855(770) 474-8078 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Jun 8, 2022 (2 updates tracked since 2022).

About Edwina Henry Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWINA HENRY MD (NPI 1043949746) is an individual family medicine provider in Stockbridge, Georgia, licensed in Georgia (102164) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043949746
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEDWINA HENRYCredential: MD
Location Address1240 EAGLES LANDING PKWY STE 110Stockbridge, GA 30281-5173
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116 · Fax (770) 955-4278
Fax(770) 474-8078
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2022
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1043949746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 102164
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1240 EAGLES LANDING PKWY STE 110, Stockbridge, GA 30281

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Edwina Henry Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133603715
PECOS Enrollment IDI20260320003834
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Nurse Practitioner (Acute Care)
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwina Henry's NPI number?

The NPI number for Edwina Henry is 1043949746. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Edwina Henry located?

Edwina Henry practices at 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281. The listed phone number is (770) 389-3855.

What is Edwina Henry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edwina Henry enrolled in Medicare?

Yes. Edwina Henry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edwina Henry was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.