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CAROLYN JORDAN HENDERSON MD
NPI 1912438839
Pediatrics - Pediatric Pulmonology in Atlanta, GA

Active since March 22, 2017PECOS Enrolled
1400 TULLIE RD NE FL 5, ATLANTA, GA 30329(404) 785-5437 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 15, 2023, Mar 22, 2017 (2 updates tracked since 2017).

About Carolyn Jordan Henderson Md NPPES

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

CAROLYN JORDAN HENDERSON MD (NPI 1912438839) is an individual pediatric pulmonology provider in Atlanta, Georgia, licensed in Georgia (86887) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912438839
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameCAROLYN JORDAN HENDERSONCredential: MD
Location Address1400 TULLIE RD NE FL 5Atlanta, GA 30329-2309
Mailing Address1400 Tullie Rd Ne Fl 5hAtlanta, GA 30329-2309 · (404) 785-5437
Phone(404) 785-5437
Sole ProprietorNo
Enumeration DateMarch 22, 2017
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1912438839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in GA · 86887
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
1400 TULLIE RD NE FL 5, Atlanta, GA 30329
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Jordan Henderson Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc
5.9 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

ARLENE STECENKO MD
Internal Medicine (Pulmonary Disease)
1400 TULLIE RD NE FL 5
ATLANTA, GA 30329
Dekalb County (404) 785-5437
DAWN SIMON MD
Pediatrics (Pediatric Pulmonology)
1400 TULLIE RD NE FL 5
ATLANTA, GA 30329
Dekalb County (404) 785-5437
DEVON GREENE MD, MPH
Pediatrics (Pediatric Pulmonology)
1400 TULLIE RD NE FL 5
ATLANTA, GA 30329
Dekalb County (404) 785-5437
SAMAR SHAH MD
Pediatrics
1400 TULLIE RD NE FL 5
ATLANTA, GA 30329
Dekalb County (404) 785-5437
SHEEL NITIN SHAH MD
Internal Medicine (Pulmonary Disease)
1400 TULLIE RD NE FL 5
ATLANTA, GA 30329
Dekalb County (404) 785-5437
ERIN POWERS CPNP
Nurse Practitioner (Pediatrics)
1400 TULLIE RD NE FL 5
ATLANTA, GA 30329
Dekalb County (404) 785-5437
RACHEL LINNEMANN MD
Pediatrics
1400 TULLIE RD NE FL 5
ATLANTA, GA 30329
Dekalb County (404) 785-5437
CAROLINE IVIE PA-C
Physician Assistant (Medical)
1400 TULLIE RD NE FL 5
ATLANTA, GA 30329
Dekalb County (404) 785-5437

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 Carolyn Henderson's NPI number?

The NPI number for Carolyn Henderson is 1912438839. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Carolyn Henderson located?

Carolyn Henderson practices at 1400 Tullie Rd NE Fl 5, Atlanta, GA 30329. The listed phone number is (404) 785-5437.

What is Carolyn Henderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Carolyn Henderson enrolled in Medicare?

Yes. Carolyn Henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Henderson reassigns Medicare benefits to Emory Medical Care Foundation Inc (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 Carolyn Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Henderson accept?

Health plans from Oscar Health list Carolyn Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Henderson was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.