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HENRY USIM EDETSON
NPI 1477424521
Nurse Practitioner - Psychiatric/Mental Health in Bethlehem, GA

Active since September 12, 2025
2196 FOXY DR, BETHLEHEM, GA 30620(404) 751-8221 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henry Usim Edetson NPPES

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

HENRY USIM EDETSON (NPI 1477424521) is an individual psychiatric/mental health provider in Bethlehem, Georgia, licensed in Georgia (RN311473) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1477424521
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameHENRY USIM EDETSON
Location Address2196 FOXY DRBethlehem, GA 30620-7664
Mailing Address2196 Foxy DrBethlehem, GA 30620-7664 · (770) 675-0545
Phone(404) 751-8221
Sole ProprietorYes
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1477424521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN311473
2196 FOXY DR, Bethlehem, GA 30620
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Henry Edetson's NPI number?

The NPI number for Henry Edetson is 1477424521. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Henry Edetson located?

Henry Edetson practices at 2196 Foxy Dr, Bethlehem, GA 30620. The listed phone number is (404) 751-8221.

What is Henry Edetson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Henry Edetson was last updated on September 12, 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.