Individual provider

Deasia Henderson, PA-C

Physician Assistant Medicare enrolled

Deasia Henderson, PA-C is a Physician Assistant in Atlanta, GA, registered under NPI 1629553383.

Getting there

The practice address on file is 1001 JOHNSON FERRY RD, Atlanta, GA 30342. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1001 JOHNSON FERRY RD, Atlanta, GA 30342 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
C0006922 MD Physician Assistant
10810 GA Physician Assistant primary

Licences are recorded in 2 states: MD, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
9739428202
Enrollment ID
I20220113000783

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and Maryland. The practice address on file is in Atlanta, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia practice address
Licence
10810
Specialty
Physician Assistant
Verify with the GA board →
MD Maryland
Licence
C0006922
Specialty
Physician Assistant
Verify with the MD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physician Assistant covers

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant C0006922 MD
363A00000X Physician Assistant 10810 GA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629553383 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 28, 2018
Last updatedJul 25, 2025
StatusActive
Sole proprietorNo
GenderFemale
CredentialPA-C
Practice address 1001 JOHNSON FERRY RD
Atlanta, GA 30342
(404) 785-2273
Fax (404) 785-9168
Mailing address 11350 MCCORMICK ROAD EP1, SUITE 501
Hunt Valley, MD 21031
This record was updated on Jul 25, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1629553383 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 5 5 3 3 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 1 5 6 3 7

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629553383?
NPI 1629553383 is the National Provider Identifier assigned to Deasia Henderson, PA-C in Atlanta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In…
How do I contact Deasia Henderson, PA-C?
The phone number on file with NPPES is (404) 785-2273, last updated Jul 25, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Deasia Henderson, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629553383 a valid number?
Yes. 1629553383 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.