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

Samantha Henderson

Individual provider Certified Registered Nurse Anesthetist · NPI 1003645698

Samantha Henderson is a Certified Registered Nurse Anesthetist (CRNA) in Woodstock, Georgia. Qualified in 2025, 1 year ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2024

Practice location Address checks out

104 Kayse Ct
Woodstock, GA 30188-2320
Phone: (404) 401-7971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 283588 (GA)

Record details

NPI number1003645698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2024
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address104 Kayse Ct, Woodstock, GA 30188-2320

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Woodstock