NPI age
19 years
Enumerated 2006-07-14
● Active
Type 1 · Individual
Philip Norton Henderson, MD, MPH, MBA
Henderson is 1 of 6 clinic/center providers in Suwanee and 1 of 354 in Georgia.
Primary specialty
Clinic/Center
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 354 active clinic/center providers in Georgia.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
2
In the 22% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
2696 Lawrenceville Suwanee Rd
Suwanee, GA 300242535
Mailing address
2696 Lawrenceville-Suwanee Rd
Suwanee, GA 30024
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 047601 | STATE LICENSE NUMBER |
| 05 (GA) | 00851034C |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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