SYDNEY HENDERSON
NPI 1174379218
Nurse Practitioner - Family in Woodstock, GA

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment
604 LOVEJOY LN, WOODSTOCK, GA 30189(770) 268-4011 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Apr 29, 2024 (2 updates tracked since 2024).

About Sydney Henderson NPPES

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

SYDNEY HENDERSON (NPI 1174379218) is an individual family provider in Woodstock, Georgia, licensed in Georgia (RN260313) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Acworth, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174379218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSYDNEY HENDERSON
Location Address604 LOVEJOY LNWoodstock, GA 30189-3634
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 29, 2024
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
NPI 1174379218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN260313
604 LOVEJOY LN, Woodstock, GA 30189

Secondary Practice Location 1

Location 13950 Cobb Pkwy NW Ste 401Acworth, GA 30101-9528 · Phone (404) 857-9575 · Fax (888) 857-4685

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

Sydney Henderson 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 ID2163964446
PECOS Enrollment IDI20240603002597
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
440 services104 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
347 services102 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
46 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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 2

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

Family Medicine
604 LOVEJOY LN
WOODSTOCK, GA 30189
Physician Assistant
604 LOVEJOY LN
WOODSTOCK, GA 30189

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 Sydney Henderson's NPI number?

The NPI number for Sydney Henderson is 1174379218. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Sydney Henderson located?

Sydney Henderson practices at 604 Lovejoy Ln, Woodstock, GA 30189. The listed phone number is (770) 268-4011.

What is Sydney Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sydney Henderson enrolled in Medicare?

Yes. Sydney Henderson 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 Sydney Henderson was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.