SHANDA DANIELLE HENRY MS, LAT, ATC
NPI 1265303804
Emergency Medicine - Sports Medicine in Tiger, GA

Q: What is Shanda Henry's NPI number?

The NPI number for Shanda Henry is 1265303804. It was assigned to this individual provider in the NPPES registry on September 16, 2025. The provider is also known as Shanda Danielle Callenback Ms,lat, Atc.

Q: What is Shanda Henry's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Q: When was this NPI record last updated?

The NPPES record for Shanda Henry was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 16, 2025

230 WILDCAT TRAIL, TIGER, GA 30576(706) 490-1430 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shanda Danielle Henry Ms, Lat, Atc NPPES

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

SHANDA DANIELLE HENRY MS, LAT, ATC (NPI 1265303804) is an individual sports medicine provider in Tiger, Georgia, licensed in Georgia (AT002799) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1265303804

Entity TypeIndividualFemale

Primary Taxonomy207PS0010X

Provider Legal NameSHANDA DANIELLE HENRYCredential: MS, LAT, ATC

Location Address230 WILDCAT TRAILTiger, GA 30576

Mailing Address82 Sand Pump LnLakemont, GA 30552-2921 · (706) 490-1430

Phone(706) 490-1430

Sole ProprietorYes

Enumeration DateSeptember 16, 2025

NPPES CertifiedSeptember 2, 2025

✔ NPI 1265303804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PS0010X

License✔ Licensed in GA · AT002799

Definition

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.

230 WILDCAT TRAIL, Tiger, GA 30576

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Other Names 1

Former Name (1)Shanda Danielle Callenback Ms,lat, Atc

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 Shanda Henry's NPI number?

The NPI number for Shanda Henry is 1265303804. It was assigned to this individual provider in the NPPES registry on September 16, 2025. The provider is also known as Shanda Danielle Callenback Ms,lat, Atc.

Where is Shanda Henry located?

Shanda Henry practices at 230 Wildcat Trail, Tiger, GA 30576. The listed phone number is (706) 490-1430.

What is Shanda Henry's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

When was this NPI record last updated?

The NPPES record for Shanda Henry was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.