P Praxis·MD
● Active Type 1 · Individual

Shanda Danielle Henry, MS, LAT, ATC

Emergency Medicine·Tiger, GA· NPI 1265303804 · Enumerated 2025 · 0 years on NPI
Henry is 1 of 1 emergency medicine providers in Tiger and 1 of 10 in Georgia.
NPI age
— years
Enumerated 2025-09-16
Primary specialty
Emergency Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 10 active emergency medicine providers in Georgia.

NPI age
0 years
↓ 6 yr below median (6 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-09Enumerated in NPPES
2025 2026

Where they practice

Practice location
230 Wildcat Trail
Tiger, GA 30576
📞 7064901430
Mailing address
82 Sand Pump Ln
Lakemont, GA 305522921
📞 7064901430

Specialties

  • Emergency Medicine Primary
    An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of...
    GA license #AT002799 taxonomy 207PS0010X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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