DR. STEPHANIE M HENRY MD
NPI 1285621037
Pediatrics in Clarkston, GA
About Dr. Stephanie M Henry Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHANIE M HENRY MD (NPI 1285621037) is an individual pediatrics provider in Clarkston, Georgia, licensed in Georgia (072062) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Stephanie M Henry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Henry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLARKSTON, GA 30021
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 Henry's NPI number?
The NPI number for Stephanie Henry is 1285621037. It was assigned to this individual provider in the NPPES registry on October 5, 2005.
Where is Stephanie Henry located?
Stephanie Henry practices at 4112 E Ponce De Leon Ave, Clarkston, GA 30021. The listed phone number is (404) 296-7133.
What is Stephanie Henry's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Stephanie Henry enrolled in Medicare?
Yes. Stephanie Henry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Henry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Henry reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Henry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Henry was last updated on January 24, 2022. 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.
# Dr. Stephanie M Henry, MD · NPI 1285621037
Pediatrics physician in Clarkston, Georgia. Individual provider, active in the CMS NPPES registry since October 5, 2005.
## Identity
- **NPI:** 1285621037 (Entity type: Individual)
- **Enumerated:** October 5, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 072062 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4112 E PONCE DE LEON AVE, Clarkston, GA 30021-8106
- **Phone:** (404) 296-7133 · **Fax:** (404) 296-7211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2022
- **Other identifiers:** Medicaid 003148169A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285621037) · Data from the CMS NPPES public registry.