Matthew S Henderson (NPI# 1184150666, PAC ID# 3577828094) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1184150666 |
| PAC ID by PECOS | 3577828094 |
| Professional Enrollment ID | I20180601002460 |
| Full Name | Matthew S Henderson |
| Organization Legal Name | SOUTHEASTERN PSYCHOLOGICAL ASSOCIATES INC |
| Address |
3155 Mill St Covington GA 30014-2542 |
| Phone Number | 4042260939 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9537320254 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3155 Mill St, Covington, GA 30014-2542 | 4042260939 | SOUTHEASTERN PSYCHOLOGICAL ASSOCIATES INC |
| Organization Legal Name | SOUTHEASTERN PSYCHOLOGICAL ASSOCIATES INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscilla Faulkner | Psychologist, Clinical | Southeastern Psychological Associates Inc | 3155 Mill St, Covington, GA 30014-2542 |
| Sharon Reagan | Clinical Social Worker | Southeastern Psychological Associates Inc | 3155 Mill St, Covington, GA 30014-2542 |
| Sarah Davis | Clinical Psychologist | Southeastern Psychological Associates Inc | 3155 Mill St, Covington, GA 30014-2542 |
| Rachel K Mcginnis | Clinical Social Worker | Southeastern Psychological Associates Inc | 3155 Mill St, Covington, GA 30014-2542 |
| Street Address |
3155 MILL ST |
| City | COVINGTON |
| State | GA |
| Zip | 30014-2542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscilla Faulkner | Psychologist, Clinical | Southeastern Psychological Associates Inc | 3155 Mill St, Covington, GA 30014-2542 |
| Sharon Reagan | Clinical Social Worker | Southeastern Psychological Associates Inc | 3155 Mill St, Covington, GA 30014-2542 |
| Sarah Davis | Clinical Psychologist | Southeastern Psychological Associates Inc | 3155 Mill St, Covington, GA 30014-2542 |
| Rachel K Mcginnis | Clinical Social Worker | Southeastern Psychological Associates Inc | 3155 Mill St, Covington, GA 30014-2542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen F Vidrine | Certified Clinical Nurse Specialist (cns) | 10385 Hwy 278 E, Covington, GA 30014 | |
| Ashley E Heath | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Joseph T Overton Jr. | Dermatology | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Shiara C Vassian | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Lucinda C. Faulkner | Nurse Practitioner | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Anil J Desai | Internal Medicine | 4139 Baker St, Suite 900, Covington, GA 30014-1409 | |
| Gia E Johnson | Psychiatry | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Margaret Martin | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Dionne L Jenkins | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Monica Osayi | Nurse Practitioner | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Find all physicians in zip 30014 | |||
| City | COVINGTON |
| Zip Code | 30014 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | COVINGTON + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.