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

Heather Henderson

Individual provider Family Nurse Practitioner · NPI 1831649888

Heather Henderson is a Nurse Practitioner in Carrollton, Georgia. Qualified in 2015, 11 years ago. Practices with Tanner Medical Group Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
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Practice location Address checks out

706 Dixie St Ste 200
Carrollton, GA 30117-3889
Phone: (770) 214-2229
Fax: (770) 214-9691
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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-NP198391 (GA)

Record details

NPI number1831649888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2016
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address706 Dixie St Ste 200, Carrollton, GA 30117-3889

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tanner Medical Group Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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