SHANDA DANIELLE HENRY MS, LAT, ATC
NPI 1265303804
Emergency Medicine - Sports Medicine in Tiger, GA
NPI Status: Active since September 16, 2025
Contact Information
230 WILDCAT TRAIL
TIGER, GA
ZIP 30576
Phone: (706) 490-1430
- Individual
- Female
- Emergency Medicine
- Sports Medicine
About SHANDA HENRY
This page provides the complete NPI Profile along with additional information for Shanda Henry, a provider established in Tiger, Georgia with a medical specialization in Emergency Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1265303804 assigned on September 2025. The practitioner's primary taxonomy code is 207PS0010X with license number AT002799 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1265303804
- Provider Name
- SHANDA DANIELLE HENRY MS, LAT, ATC
- Other Name
- SHANDA DANIELLE CALLENBACK MS,LAT, ATC
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 230 WILDCAT TRAIL TIGER, GA 30576
- Location Phone
- (706) 490-1430
- Mailing Address
- 82 SAND PUMP LN LAKEMONT, GA 30552
- Mailing Phone
- (706) 490-1430
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-16-2025
- Last Update Date
- 09-16-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Sports Medicine
- Taxonomy Code
- 207PS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- AT002799
- License State
- GA
- Taxonomy Description
- An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265303804, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265303804, enumerated as an "individual" on September 16, 2025.
The provider is located at 230 WILDCAT TRAIL TIGER, GA 30576 and the phone number is (706) 490-1430.
Emergency Medicine with taxonomy code 207PS0010X and a focus in Sports Medicine.
