STEPHANIE TERRELL HENDERSON PA-C
NPI 1093487407
Physician Assistant in Peachtree City, GA

Active since October 04, 2021
313 REVOLUTION DR, PEACHTREE CITY, GA 30269(252) 342-5772 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Terrell Henderson Pa-c NPPES

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

STEPHANIE TERRELL HENDERSON PA-C (NPI 1093487407) is an individual physician assistant in Peachtree City, Georgia, licensed in Georgia (9474) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1093487407
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE TERRELL HENDERSONCredential: PA-C
Location Address313 REVOLUTION DRPeachtree City, GA 30269-1086
Mailing Address313 Revolution DrPeachtree City, GA 30269-1086 · (252) 342-5772
Sole ProprietorYes
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
NPI 1093487407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 9474
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
313 REVOLUTION DR, Peachtree City, GA 30269

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 Stephanie Henderson's NPI number?

The NPI number for Stephanie Henderson is 1093487407. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Stephanie Henderson located?

Stephanie Henderson practices at 313 Revolution Dr, Peachtree City, GA 30269. The listed phone number is (252) 342-5772.

What is Stephanie Henderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Henderson was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.