DR. STEPHANIE M HENRY MD
NPI 1285621037
Pediatrics in Clarkston, GA

Q: 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.

Q: What is Stephanie Henry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Henry was last updated on January 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 05, 2005PECOS Enrolled

4112 E PONCE DE LEON AVE, CLARKSTON, GA 30021(404) 296-7133(404) 296-7211 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1285621037

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. STEPHANIE M HENRYCredential: MD

Location Address4112 E PONCE DE LEON AVEClarkston, GA 30021-8106

Mailing Address4112 E Ponce De Leon AveClarkston, GA 30021-8106 · (404) 296-7133 · Fax (404) 296-7211

Phone(404) 296-7133

Fax(404) 296-7211

Sole ProprietorNo

Enumeration DateOctober 5, 2005

Last NPPES UpdateJanuary 24, 2022

✔ NPI 1285621037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 072062

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4112 E PONCE DE LEON AVE, Clarkston, GA 30021

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Other Identifiers 1

Medicaid003148169AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie M Henry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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 13

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

DR. LYNETTE ROCHELLE WILSON-PHILLIPS M.D.

Pediatrics