DR. SCOTT DAVID HENDERSON (NPI# 1801804000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801804000 |
| Entity Type | Individual |
| Full Name | DR. SCOTT DAVID HENDERSON |
| Credential | M.D. |
| Practice Address |
1776 Old Spring House Ln Suite 200 Atlanta GA 30338-6225 |
| Practice Telephone | 7704540091 |
| Practice Fax Number | 7704540095 |
| Mailing Telephone | 7704540091 |
| Mailing Fax Number | 7704540095 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 026548 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420227 | Scott Robert Henderson | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Me, 98 S. Los Robles Avenue, Pasadena, CA 91101-9110 | 2020-06-02 |
| 1679846570 | Scott Thomas Henderson | Registered Nurse | 10671 Roanna Ln, Saint Louis, MO 63128-1534 | 2012-02-23 |
| 1780725275 | Scott Dewey Henderson | Social Worker | 681 N Main, Richfield, UT 84701 | 2007-02-09 |
| 1649311929 | Scott Allen Henderson | Chiropractor | 3663 College St Se Ste F, Lacey, WA 98503-3529 | 2007-02-09 |
| 1417004300 | Scott James Henderson | Anesthesiology | Overland Park Reg. Med Center, Dept. of Anesthesiology, 10500 Quivira Road, Overland Park, KS 66215 | 2007-01-04 |
| 1174595383 | Scott Henderson | Physician Assistant | 1101 Wootton Pkwy, Suite 100, Rockville, MD 20852-1059 | 2006-02-02 |
| 1003214339 | Scott Henderson | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2014-12-18 |
| 1093872855 | Scott O. Henderson | Dentist | 285 Elm Street, Suite 200, Cumming, GA 30040 | 2007-01-02 |
| 1225116767 | Scott David Henderson | Dentist | 15250 E Orchard Rd, Centennial, CO 80016-3003 | 2006-11-01 |
| 1720178940 | Scott J Henderson | Physical Therapist | 4069 Lake Dr Se, Ste 114, Grand Rapids, MI 49546-8816 | 2006-10-16 |
| Street Address |
1776 OLD SPRING HOUSE LN SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487677167 | Phillip Raymond Rogers | Family Medicine | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2006-07-25 |
| 1437687555 | Amy Lapointe | Physician Assistant | 1776 Old Spring House Ln, Atlanta, GA 30338-6225 | 2017-06-02 |
| 1821536012 | Jennifer Lynn Reaves | Registered Nurse | 1776 Old Spring House Ln, Atlanta, GA 30338-6225 | 2017-02-07 |
| 1346690989 | Amy Octavia Zimmerman | Nurse Practitioner | 1776 Old Spring House Ln, Sure 200, Atlanta, GA 30338-6225 | 2016-06-14 |
| 1649474305 | Charner Sue Bellamy | Nurse Practitioner | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2007-06-14 |
| 1407905540 | Family Practice Associates of Atlanta | Family Medicine | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2007-01-09 |
| 1215941992 | Michael Paul Seyfried | Family Medicine | 1776 Old Spring House Ln, Suite 200, Atlanta, GA 30338-6225 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
| Find all providers in ATLANTA | ||||
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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.