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

Kimberly Ann Henderson, MA

Individual provider Mental Health Counselor · NPI 1538340641

Kimberly Ann Henderson, MA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2016, 10 years ago. Practices with Mid-Atlantic Emergency Medical Associates PLLC, a 97-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone: (704) 377-2424
Fax: (704) 377-2687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06963 (NC)
Mental Health Counselor Taxonomy 101YM0800X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-06963 (NC)

Record details

NPI number1538340641
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedNovember 16, 2007
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mid-Atlantic Emergency Medical Associates Pllc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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