Kellie Cain Henderson (NPI# 1720459621, PAC ID# 8325324080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720459621 |
| PAC ID by PECOS | 8325324080 |
| Professional Enrollment ID | I20170411002279 |
| Full Name | Kellie Cain Henderson |
| Organization Legal Name | JOHNS CREEK GASTROENTEROLOGY PC |
| Address |
1100 Northside Forsyth Dr Suite 330 Cumming GA 30041-6020 |
| Phone Number | 7708899901 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941269591 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1100 Northside Forsyth Dr, Suite 330, Cumming, GA 30041-6020 | 7708899901 | JOHNS CREEK GASTROENTEROLOGY PC |
| Organization Legal Name | JOHNS CREEK GASTROENTEROLOGY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clive Albert | Gastroenterology | Johns Creek Gastroenterology PC | 1100 Northside Forsyth Dr, Suite 330, Cumming, GA 30041-6020 |
| Street Address |
1100 NORTHSIDE FORSYTH DR SUITE 330 |
| City | CUMMING |
| State | GA |
| Zip | 30041-6020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica F Wysock | Nurse Practitioner | Northside Surgical Professional Services LLC | 1100 Northside Forsyth Dr, Suite 410, Cumming, GA 30041-6015 |
| Manuel Damian Rodriguez | Infectious Disease | Infectious Disease Service of Georgia | 1100 Northside Forsyth Dr, Suite 250, Cumming, GA 30041-6021 |
| Bernard R Drexinger Jr. | Neurology | 1100 Northside Forsyth Dr, Suite 210, Cumming, GA 30041-6016 | |
| Frank Puhalovich | Neurology | Lakeside Neurology, P.C. | 1100 Northside Forsyth Dr, Suite 440, Cumming, GA 30041-6015 |
| Edmund L Simon | Radiation Oncology | North Atlanta Professional Services LLC | 1100 Northside Forsyth Dr, Suite 140, Cumming, GA 30041-6014 |
| Clive Albert | Gastroenterology | Johns Creek Gastroenterology PC | 1100 Northside Forsyth Dr, Suite 330, Cumming, GA 30041-6020 |
| John K Attokaren | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1100 Northside Forsyth Dr, Suite 450, Cumming, GA 30041-6019 |
| Peter R Futrell | Neurology | Lakeside Neurology, P.C. | 1100 Northside Forsyth Dr, Suite 440, Cumming, GA 30041-6015 |
| Sara G Davis | Audiologist | Milton Hall Surgical Associates, LLC | 1100 Northside Forsyth Dr, Cumming, GA 30041-6019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| William G Littlefield | Hand Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Neil Tarabadkar | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Amit Tibrewala | Internal Medicine | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Kurt B Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eric W Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eli M Goldsmith | Chiropractic | 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901 | |
| Dominik Alan Shannon | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Dwarakinath Harish | Nephrology | 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723 | |
| Coleen Rodney Brown | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Find all physicians in zip 30041 | |||
| City | CUMMING |
| Zip Code | 30041 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CUMMING + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kellie Cain Henderson.
| 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.