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

Q: 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.

Q: What is Carolyn Henderson's specialty?

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

Q: 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 2 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 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: August 09, 2026.

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

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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 and is a graduate of Emory University School Of Medicine (2017).

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

Medical School CMSEmory University School Of MedicineGraduated 2017

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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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Jordan Henderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234674136

PECOS Enrollment IDI20250710001352

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.

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)