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

Polly A Henderson, MD

Individual provider Ophthalmology Physician · NPI 1568404416

Polly A Henderson, MD is an Ophthalmology in Duluth, Georgia. Graduated from University of Chicago, Pritzker School of Medicine in 2000, 26 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia and Pennsylvania.

Years since qualifying
26
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
GA, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Ctr
Duluth, GA 30096-4506
Phone: (215) 762-3937
Fax: (215) 762-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 068190 (GA)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD425936 (PA)

Record details

NPI number1568404416
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJanuary 7, 2022
Mailing address3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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