NPI age
20 years
Enumerated 2005-10-17
● Active
Type 1 · Individual
DR. Glen A Henry, M.D., F.A.C.C.
Henry is 1 of 13 internal medicine providers in Gainesville and 1 of 238 in Georgia.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, RI, CT
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 238 active internal medicine providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
3 states
Top 70% — 29% of peers are multi-state
Subspecialties
0
72% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
200 S Enota Dr Ne Ste 200
Gainesville, GA 305013466
Mailing address
Po Box 742616
Atlanta, GA 303742616
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
593 Eddy St
Providence, RI 029034923
Location 3
950 Warren Ave Ste 201
East Providence, RI 029141432
Location 4
2 Devine Street, Suite # 1
North Haven, CT 064732193
Specialties
-
Internal Medicine PrimaryAn area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (CT) | 060050671 | MEDICARE RAILROAD PIN |
| 05 (CT) | 001333286 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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