P Praxis·MD
● Active Type 1 · Individual

Nicholai Anthony Henry, MD

Surgery·Conyers, GA· NPI 1568921427 · Enumerated 2019 · 7 years on NPI
Henry is 1 of 9 surgery providers in Conyers and 1 of 268 in Georgia.
NPI age
7 years
Enumerated 2019-03-19
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
1412 Milstead Ave Ne Ste 100
Conyers, GA 300123877
📞 7704839330fax 7704833731
Mailing address
1412 Milstead Ave Ne Ste 100
Conyers, GA 300123877
📞 7704839330fax 7704833731

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #103007 taxonomy 2086S0129X

Identifiers

TypeValueNotes
05 (NY) 64172

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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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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