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

Miranda Henderson

Individual provider Physician Assistant · NPI 1649951260

Miranda Henderson is a Physician Assistant in Augusta, Georgia. Qualified in 2023, 3 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

4014 Calypso Dr
Augusta, GA 30909-6706
Phone: (478) 973-4265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1649951260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address4014 Calypso Dr, Augusta, GA 30909-6706

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Augusta