MRS. PAULA DENISE HENDERSON (NPI# 1053504373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053504373 |
| Entity Type | Individual |
| Full Name | MRS. PAULA DENISE HENDERSON |
| Credential | RT(R) |
| Practice Address |
1670 Clairmont Rd Decatur GA 30033-4004 |
| Practice Telephone | 4043216111 |
| Mailing Telephone | 4043216111 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
260350 | GA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275646317 | Paula C Henderson | Family Medicine | 391 N San Jacinto St, Hemet, CA 92543-3118 | 2006-08-15 |
| 1912470824 | Paula Henderson | Family Medicine | 406 Taylor St Ste A, Scottsboro, AL 35768-2406 | 2019-01-03 |
| Street Address |
1670 CLAIRMONT RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342042 | Ketayoun Davari | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2005-08-03 |
| 1730780073 | Mojisola Mary Bakare | Registered Nurse | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-11-03 |
| 1346849189 | Jessica Astrid George | Social Worker | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-10-22 |
| 1841807591 | Mallorie Gayle Carroll | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-28 |
| 1164036570 | Rachel Heatherly | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-02 |
| 1679186670 | Martale Jerrell Davis | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-28 |
| 1619580206 | Rosetta Yvette Delancy | Social Worker | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-25 |
| 1760095186 | Alaisha Delane Wellons | Social Worker | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-25 |
| 1568074797 | Hannah F Martyn | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-19 |
| 1285245308 | Meera Gupta | Pharmacist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275725772 | Mary Aderonke Banjoh | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-08-17 |
| 1164614558 | David Ernest Moore | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432267 | Amira Karriem | Radiologic Technologist | 256 Valley View Cir, Dallas, GA 30132-9806 | 2019-08-12 |
| 1902077415 | Mary Celeste Wade | Radiologic Technologist | 1029 Travelers Trl Nw, Kennesaw, GA 30144-2870 | 2008-03-12 |
| 1568655991 | Monique Fawn Towns | Radiologic Technologist | 3703 Brightwater Dr, Douglasville, GA 30135-3011 | 2007-08-20 |
| 1265639504 | Stephen Jay Tarr | Radiologic Technologist | 200 Arizona Ave Ne, Suite 200, Atlanta, GA 30307-2299 | 2007-06-29 |
| 1760527766 | Jamie S Carpenter | Radiologic Technologist | 113 Fairview Park Dr # A, Dublin, GA 31021-2501 | 2007-02-20 |
| 1801947387 | Michelle Amanda Stringfield | Radiologic Technologist | 3974 Annistown Rd Ste 304, Snellville, GA 30039-8468 | 2007-01-13 |
| 1144670340 | Zipporaha Sherette Gober | Radiologic Technologist | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2016-06-17 |
| 1316340870 | Alan Jurisich | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-29 |
| 1710388731 | April Boecker | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| 1881095891 | Libby Gardner | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.