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

Deasia Diaz Henderson, PA-C

Individual provider Physician Assistant · NPI 1629553383

Deasia Diaz Henderson, PA-C is a Physician Assistant in Atlanta, Georgia. Graduated from Howard University College of Medicine in 2018, 8 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Maryland.

Years since qualifying
8
Trained at
Howard University College of Medicine
Licensed in
GA, MD
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Johnson Ferry Rd
Atlanta, GA 30342-1605
Phone: (404) 785-2273
Fax: (404) 785-9168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3460 Old Washington Rd Ste 300, Waldorf, MD 20602-3245 — (301) 645-1523

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10810 (GA)
Physician Assistant Taxonomy 363A00000X · Licence C0006922 (MD)

Record details

NPI number1629553383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2018
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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