DEASIA DIAZ HENDERSON PA-C
NPI 1629553383
Physician Assistant in Atlanta, GA
About Deasia Diaz Henderson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEASIA DIAZ HENDERSON PA-C (NPI 1629553383) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (10810) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waldorf, and is a graduate of Howard University College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Deasia Diaz Henderson Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
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 Deasia Henderson's NPI number?
The NPI number for Deasia Henderson is 1629553383. It was assigned to this individual provider in the NPPES registry on September 28, 2018.
Where is Deasia Henderson located?
Deasia Henderson practices at 1001 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 785-2273.
What is Deasia Henderson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Deasia Henderson enrolled in Medicare?
Yes. Deasia 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 Deasia Henderson was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Deasia Diaz Henderson, PA-C · NPI 1629553383
Physician Assistant physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since September 28, 2018.
## Identity
- **NPI:** 1629553383 (Entity type: Individual)
- **Enumerated:** September 28, 2018
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 10810 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 JOHNSON FERRY RD, Atlanta, GA 30342-1605
- **Phone:** (404) 785-2273 · **Fax:** (404) 785-9168
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Howard University College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629553383) · Data from the CMS NPPES public registry.