P Praxis·MD
● Active Type 1 · Individual

Deasia Diaz Henderson, PA-C

Physician Assistant·Atlanta, GA· NPI 1629553383 · Enumerated 2018 · 7 years on NPI
Henderson is 1 of 1157 physician assistant providers in Atlanta and 1 of 4616 in Georgia.
NPI age
7 years
Enumerated 2018-09-28
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, MD
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
7 years
≈ at median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-09Enumerated in NPPES
2018 2026

Where they practice

Practice location
1001 Johnson Ferry Rd
Atlanta, GA 303421605
📞 4047852273fax 4047859168
Mailing address
11350 McCormick Road, Ep1, Suite 501
Hunt Valley, MD 21031
📞 4103291071fax 4103291054

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3460 Old Washington Rd Ste 300
Waldorf, MD 206023245
📞 3016451523fax 3016456812

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #10810MD license #C0006922 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 77 other active providers share this practice address in NPPES.

Recently enumerated nearby: 46 new physician assistant providers have been added in Atlanta in the last 180 days. See all →
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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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