POLLY A HENDERSON MD
NPI 1568404416
Ophthalmology in Duluth, GA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096(215) 762-3937(215) 762-5600 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Polly A Henderson Md NPPES

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

POLLY A HENDERSON MD (NPI 1568404416) is an individual ophthalmology provider in Duluth, Georgia, licensed in Georgia (068190) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2000).

NPPES Registry Identity

NPI1568404416
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NamePOLLY A HENDERSONCredential: MD
Location Address3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTERDuluth, GA 30096-4506
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070 · Fax (215) 255-7825
Fax(215) 762-5600
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2000
Enumeration DateJune 12, 2006
Last NPPES UpdateJanuary 7, 2022
NPI 1568404416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in GA · 068190 Licensed in PA · MD425936
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3650 STEVE REYNOLDS BLVD, Duluth, GA 30096

Other Identifiers 1

Medicaid101262870PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Polly A Henderson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749251353
PECOS Enrollment IDI20120921000551
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 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 20

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

Family Medicine
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Psychiatry & Neurology (Neurology)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Audiologist
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Midwife
3650 STEVE REYNOLDS BLVD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A
DULUTH, GA 30096
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Midwife
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Social Worker (Clinical)
3650 STEVE REYNOLDS BLVD, GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA 30096

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 Polly Henderson's NPI number?

The NPI number for Polly Henderson is 1568404416. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Polly Henderson located?

Polly Henderson practices at 3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096. The listed phone number is (215) 762-3937.

What is Polly Henderson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Polly Henderson enrolled in Medicare?

Yes. Polly Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Polly Henderson was last updated on January 7, 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.