P Praxis·MD
● Active Type 1 · Individual

Marissa Lynne Henderson, MSN, APRN, FNP-C

Nurse Practitioner·Atlanta, GA· NPI 1518502475 · Enumerated 2019 · 6 years on NPI
Henderson is 1 of 555 nurse practitioner providers in Atlanta and 1 of 3206 in Georgia.
NPI age
6 years
Enumerated 2019-11-14
Primary specialty
Nurse Practitioner
Plus 14 subspecialties
Licensed in
TX, MO, WA, KY, TN, FL, AL, AR, MS, CO, SC, GA, AZ, PA, OR
15 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
6 years
↓ 2 yr below median (8 yr)
State licenses
15 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-11Enumerated in NPPES
2019 2026

Where they practice

Practice location
1055 Howell Mill Rd Nw
Atlanta, GA 303185557
📞 8668490692
Mailing address
Po Box 211699
Eagan, MN 551213699
📞 8668490692fax 8889738821

Additional practice locations

1 secondary location on file with NPPES.

Location 2
609 Medical Center Dr Ste 2700
Decatur, TX 762343839
📞 9406278020fax 9406276730

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    TX license #AP143723MO license #2025008125WA license #AP61670672KY license #4035650TN license #38496FL license #APRN11037949AL license #3-002294AR license #232324MS license #907312CO license #C-APN.0103933-C-NPSC license #30139GA license #GAA-NP003247AZ license #322525PA license #SP032352OR license #10041652 taxonomy 363L00000X

Identifiers

TypeValueNotes
05 (TX) PENDING
01 (TX) PENDING BCBS
Multi-state credentialing: Licensed in 15 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.

Recently enumerated nearby: 11 new nurse practitioner providers have been added in Atlanta in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 3206 Nurse Practitioner providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related