Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angella E Henry, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1255875167

Angella E Henry, NURSEPRACTITIONER is a Nurse Practitioner in Villa Rica, Georgia. Qualified in 2016, 10 years ago. Practices with Tanner Medical Group Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
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Practice location Address checks out

101 Quartz Dr Ste 201
Villa Rica, GA 30180-3256
Phone: (770) 812-3839
Fax: (770) 456-3785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP171201 (GA)

Record details

NPI number1255875167
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 12, 2016
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tanner Medical Group Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Villa Rica