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

Mrs. Kellie Cain Henderson, NP-C

Individual provider Family Nurse Practitioner · NPI 1720459621

Mrs. Kellie Cain Henderson, NP-C is a Nurse Practitioner in Cumming, Georgia. Qualified in 2015, 11 years ago. Practices with Johns Creek Gastroenterology PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1100 Northside Forsyth Dr Ste 330
Cumming, GA 30041-6012
Phone: (770) 889-9901
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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 RN200046 (GA)

Record details

NPI number1720459621
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 18, 2015
Last updated in NPPESOctober 18, 2015

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 Johns Creek Gastroenterology Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cumming