DR. SHONTE HENDERSON D.O.
NPI 1780821884
Pediatrics in Forest Park, GA

Q: What is Shonte Henderson's NPI number?

The NPI number for Shonte Henderson is 1780821884. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Q: What is Shonte Henderson'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 Shonte Henderson was last updated on April 14, 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.

Active since January 12, 2009PECOS Enrolled

4905 COURTNEY DR, FOREST PARK, GA 30297(404) 366-3636 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Shonte Henderson D.o. NPPES

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

DR. SHONTE HENDERSON D.O. (NPI 1780821884) is an individual pediatrics provider in Forest Park, Georgia, licensed in Pennsylvania (OS014543) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780821884

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SHONTE HENDERSONCredential: D.O.

Location Address4905 COURTNEY DRForest Park, GA 30297-1427

Mailing Address4905 Courtney DrForest Park, GA 30297-1427 · (404) 366-3636

Phone(404) 366-3636

Sole ProprietorYes

Enumeration DateJanuary 12, 2009

Last NPPES UpdateApril 14, 2022

NPPES CertifiedApril 14, 2022

✔ NPI 1780821884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in PA · OS014543✔ Licensed in GA · 062516

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.

4905 COURTNEY DR, Forest Park, GA 30297

Open in Google Maps ↗

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. Shonte Henderson D.o. 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 30297 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 16

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

DR. SALMA ELMUBARAK ELKHABIER MD

Pediatrics