SHARON MCCOY HENDERSON NP
NPI 1902331895
Nurse Practitioner - Adult Health in Atlanta, GA
About Sharon Mccoy Henderson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHARON MCCOY HENDERSON NP (NPI 1902331895) is an individual adult health provider in Atlanta, Georgia, licensed in Georgia (RN107628) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sharon Mccoy Henderson Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Sharon Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30342
SANDY SPRINGS, GA 30342
SANDY SPRINGS, 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 Sharon Henderson's NPI number?
The NPI number for Sharon Henderson is 1902331895. It was assigned to this individual provider in the NPPES registry on April 27, 2017.
Where is Sharon Henderson located?
Sharon Henderson practices at 1100 Lake Hearn Dr, Atlanta, GA 30342. The listed phone number is (404) 365-0966.
What is Sharon Henderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Sharon Henderson enrolled in Medicare?
Yes. Sharon 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.
Which organization bills Medicare for Sharon Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Henderson reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sharon Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sharon Henderson was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sharon Mccoy Henderson, NP · NPI 1902331895
Adult Health physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 27, 2017.
## Identity
- **NPI:** 1902331895 (Entity type: Individual)
- **Enumerated:** April 27, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN107628 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 LAKE HEARN DR, Atlanta, GA 30342-1523
- **Phone:** (404) 365-0966
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902331895) · Data from the CMS NPPES public registry.