P Praxis·MD
● Active Type 1 · Individual

DR. Shonte Henderson, D.O.

Pediatrics·Forest Park, GA· NPI 1780821884 · Enumerated 2009 · 17 years on NPI
Henderson is 1 of 12 pediatrics providers in Forest Park and 1 of 2726 in Georgia.
NPI age
17 years
Enumerated 2009-01-12
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
PA, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-01Enumerated in NPPES
2009 2026

Where they practice

Practice location
4905 Courtney Dr
Forest Park, GA 302971427
📞 4043663636
Mailing address
4905 Courtney Dr
Forest Park, GA 302971427
📞 4043663636

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    PA license #OS014543GA license #062516 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 15 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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